Provider Demographics
NPI:1235319120
Name:SARNER, ALLAN TODD (MA MFT)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:TODD
Last Name:SARNER
Suffix:
Gender:M
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 1:61 CAMINO ALTO
Mailing Address - Street 2:SUITE 100C
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2934
Mailing Address - Country:US
Mailing Address - Phone:415-312-6268
Mailing Address - Fax:
Practice Address - Street 1:61 CAMINO ALTO
Practice Address - Street 2:SUITE 100C
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2934
Practice Address - Country:US
Practice Address - Phone:415-312-6268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC47572106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist