Provider Demographics
NPI:1760374144
Name:HJERMIND, SOFIE GABRIELLA
Entity type:Individual
Prefix:
First Name:SOFIE
Middle Name:GABRIELLA
Last Name:HJERMIND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 1ST ST APT 104
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-5188
Mailing Address - Country:US
Mailing Address - Phone:707-805-7173
Mailing Address - Fax:
Practice Address - Street 1:265 1ST ST APT 104
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-5188
Practice Address - Country:US
Practice Address - Phone:707-805-7173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)