Provider Demographics
NPI:1003039520
Name:KADER, SARA ANN (MFT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ANN
Last Name:KADER
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 1:2500 OLD CROW CANYON RD
Mailing Address - Street 2:SUITE 218
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1623
Mailing Address - Country:US
Mailing Address - Phone:925-594-1055
Mailing Address - Fax:
Practice Address - Street 1:2500 OLD CROW CANYON RD
Practice Address - Street 2:SUITE 218
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1623
Practice Address - Country:US
Practice Address - Phone:925-594-1055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44381106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist