Individual provider · Type 1 NPI

Sara Mizban

Mental Health Counselor · Vallejo, CA

NPI number 1992869002 Active

Practice location

408 Tennessee St
Vallejo, CA 94590-4453

Mailing address

309 63rd St, Apt C
Oakland, CA 94618-1265

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992869002

Sara Mizban's National Provider Identifier is 1992869002, issued on Dec 21, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vallejo, CA. The record was last updated on Jul 8, 2007.