Provider Demographics
NPI:1124555248
Name:SINKES, JERLEEN SARAH (LMFT)
Entity Type:Individual
Prefix:
First Name:JERLEEN
Middle Name:SARAH
Last Name:SINKES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 E GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4605
Mailing Address - Country:US
Mailing Address - Phone:760-828-2864
Mailing Address - Fax:
Practice Address - Street 1:5208 SILVER HARE CT
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-3553
Practice Address - Country:US
Practice Address - Phone:818-632-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110270106H00000X
390200000X
CA126192106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program