Provider Demographics
NPI:1255687893
Name:BURKLE, SARAH KATHERINE (LMFT 88866)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHERINE
Last Name:BURKLE
Suffix:
Gender:F
Credentials:LMFT 88866
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:KATHERINE
Other - Last Name:WORRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT 88866
Mailing Address - Street 1:314 HATHEWAY ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95391-1024
Mailing Address - Country:US
Mailing Address - Phone:925-523-9371
Mailing Address - Fax:
Practice Address - Street 1:314 HATHEWAY ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOUSE
Practice Address - State:CA
Practice Address - Zip Code:95391-1024
Practice Address - Country:US
Practice Address - Phone:925-523-9371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88866106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist