Provider Demographics
NPI:1730367137
Name:ADAMS, SARA M (LMFT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4315
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95617-4315
Mailing Address - Country:US
Mailing Address - Phone:530-763-2166
Mailing Address - Fax:
Practice Address - Street 1:1430 ALHAMBRA BLVD
Practice Address - Street 2:STE. 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6543
Practice Address - Country:US
Practice Address - Phone:916-557-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 53483106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist