Provider Demographics
NPI:1023359809
Name:SUN, SARAH (MS)
Entity Type:Individual
Prefix:MISS
First Name:SARAH
Middle Name:
Last Name:SUN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5173 WOODGATE WAY
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-6874
Mailing Address - Country:US
Mailing Address - Phone:850-526-0011
Mailing Address - Fax:
Practice Address - Street 1:5173 WOODGATE WAY
Practice Address - Street 2:
Practice Address - City:MARIANNA
Practice Address - State:FL
Practice Address - Zip Code:32446-6874
Practice Address - Country:US
Practice Address - Phone:850-526-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor