Provider Demographics
NPI:1164716585
Name:RUEBELT, SARA GARROW (PHD IN COUNSELING)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:GARROW
Last Name:RUEBELT
Suffix:
Gender:F
Credentials:PHD IN COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 AUBURN BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-2132
Mailing Address - Country:US
Mailing Address - Phone:530-302-7322
Mailing Address - Fax:
Practice Address - Street 1:3800 AUBURN BLVD STE C
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2132
Practice Address - Country:US
Practice Address - Phone:530-302-7322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLPC 2005016766101YP2500X
CAMFC 50059106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional