Provider Demographics
NPI:1689049439
Name:PADUA, SOPHIA MARIA (MA, AMFT, CADC-CAS)
Entity type:Individual
Prefix:MRS
First Name:SOPHIA MARIA
Middle Name:
Last Name:PADUA
Suffix:
Gender:F
Credentials:MA, AMFT, CADC-CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 E AMERICAN AVE STE 702
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93725-9247
Mailing Address - Country:US
Mailing Address - Phone:559-600-4837
Mailing Address - Fax:559-600-7644
Practice Address - Street 1:3333 E AMERICAN AVE STE 702
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93725-9247
Practice Address - Country:US
Practice Address - Phone:559-600-4837
Practice Address - Fax:559-600-7644
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC038400816101YA0400X
CA157955106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
10OtherCOUNSELOR