Provider Demographics
NPI:1427721208
Name:LOVE, SONJA LYNNETTE
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:LYNNETTE
Last Name:LOVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:EMPOWERING
Other - Middle Name:ABUNDANCE
Other - Last Name:COUNSELING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11251 RANCHO CARMEL DR UNIT 500136
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92150-8007
Mailing Address - Country:US
Mailing Address - Phone:619-354-0372
Mailing Address - Fax:
Practice Address - Street 1:11251 RANCHO CARMEL DR UNIT 500136
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92150-8007
Practice Address - Country:US
Practice Address - Phone:619-354-0372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC9145101YM0800X
CALPCC17797101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health