Provider Demographics
NPI:1225717036
Name:NAGRA, SUNVEET KAUR (AMFT)
Entity Type:Individual
Prefix:
First Name:SUNVEET
Middle Name:KAUR
Last Name:NAGRA
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 E BETTERAVIA RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-8803
Mailing Address - Country:US
Mailing Address - Phone:805-322-4400
Mailing Address - Fax:818-697-8766
Practice Address - Street 1:411 E BETTERAVIA RD STE 201
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8803
Practice Address - Country:US
Practice Address - Phone:805-322-4400
Practice Address - Fax:818-697-8766
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA132323106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist