Provider Demographics
NPI:1043942907
Name:LOCA, SARA EMILY (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:EMILY
Last Name:LOCA
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 13TH ST UNIT D
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-4827
Mailing Address - Country:US
Mailing Address - Phone:720-640-1657
Mailing Address - Fax:
Practice Address - Street 1:4555 13TH ST UNIT D
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-4827
Practice Address - Country:US
Practice Address - Phone:720-640-1657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0018611101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor