Individual provider · Type 1 NPI

Sage Mountainfire

Mental Health Counselor · Ukiah, CA

NPI number 1003021635 Active

Practice location

290 E Gobbi St
Ukiah, CA 95482-5559

Call (707) 463-3300 Map

Mailing address

PO Box 464
Ukiah, CA 95482-0464

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003021635

Sage Mountainfire's National Provider Identifier is 1003021635, issued on May 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ukiah, CA. The record was last updated on Jul 8, 2007.