Provider Demographics
NPI:1205942224
Name:SELL, SABINE V (MFT)
Entity type:Individual
Prefix:MS
First Name:SABINE
Middle Name:V
Last Name:SELL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 GELLERT BLVD
Mailing Address - Street 2:STE 280
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2665
Mailing Address - Country:US
Mailing Address - Phone:415-263-6898
Mailing Address - Fax:415-922-4438
Practice Address - Street 1:355 GELLERT BLVD
Practice Address - Street 2:STE 280
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2665
Practice Address - Country:US
Practice Address - Phone:415-263-6898
Practice Address - Fax:415-922-4438
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40672106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist