Gardner, Sara Elizabeth

Gardner, Sara Elizabeth is an individual health care provider with primary practice located at 448 Du Bois St , San Rafael CA 94901-3911. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gardner, Sara Elizabeth can be contacted via phone (415) 454-1037.

Contact Information

Primary practice address
448 Du Bois St San Rafael CA 94901-3911
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT94796 California

Profile Details

NPI number 1467997809
LBN Legal business name Gardner, Sara Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2016
Last updated Dec 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467997809 NPPES
Other LMFT94796 LICENSED MARRIAGE AND FAMILY THERAPIST

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