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Provider Information for 1740754993


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SARA KRISTINE CONTRERAS


Sex: Female

NPI: 1740754993
Last Updated: 2023-06-07
Certification Date: 2023-06-07

Details

NameValue
NPI1740754993
Enumeration Date2019-01-21
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 6051 N FRESNO ST STE 201
FRESNO, CA 93710-5280
United States

Phone: | Fax:
 
Primary Practice Address 6051 N FRESNO ST STE 201
FRESNO, CA 93710-5280
United States

Phone: 559-248-8550 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CALMFT139564