Provider Demographics
NPI:1093976912
Name:SARRIS, ARIAN ALEXANDRA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ARIAN
Middle Name:ALEXANDRA
Last Name:SARRIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:SARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:25 LAS MORADAS CIR
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3839
Mailing Address - Country:US
Mailing Address - Phone:831-247-3075
Mailing Address - Fax:
Practice Address - Street 1:25 LAS MORADAS CIR
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3839
Practice Address - Country:US
Practice Address - Phone:831-247-3075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27620106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist