Provider Demographics
NPI:1861961435
Name:ALBERTI, SONJA MARIE (MA)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:MARIE
Last Name:ALBERTI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SONJA
Other - Middle Name:MARIE
Other - Last Name:BERTRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:212 S 11TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-4000
Mailing Address - Country:US
Mailing Address - Phone:208-667-3113
Mailing Address - Fax:208-668-8213
Practice Address - Street 1:212 S 11TH ST STE 1
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-4000
Practice Address - Country:US
Practice Address - Phone:208-667-3113
Practice Address - Fax:208-668-8213
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-13
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60597315101Y00000X
WALH60938904101YM0800X
WAMG60597313106H00000X
IDLCPC-10273101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist