Provider Demographics
NPI:1114007804
Name:EATON, SARITA SUE (MA MFT)
Entity Type:Individual
Prefix:MRS
First Name:SARITA
Middle Name:SUE
Last Name:EATON
Suffix:
Gender:F
Credentials:MA MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 VIA DE LA VALLE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-3407
Mailing Address - Country:US
Mailing Address - Phone:858-481-8847
Mailing Address - Fax:858-481-8249
Practice Address - Street 1:674 VIA DE LA VALLE
Practice Address - Street 2:SUITE 102
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-3407
Practice Address - Country:US
Practice Address - Phone:858-481-8847
Practice Address - Fax:858-481-8249
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 18297106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist