Provider Demographics
NPI:1316013832
Name:MONAHAN, SABRINA NIELSEN (LCSW)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:NIELSEN
Last Name:MONAHAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:ROSE
Other - Last Name:NIELSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ASW
Mailing Address - Street 1:1625 E MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-5211
Mailing Address - Country:US
Mailing Address - Phone:619-441-1907
Mailing Address - Fax:619-441-1908
Practice Address - Street 1:1625 E MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-5211
Practice Address - Country:US
Practice Address - Phone:619-441-1907
Practice Address - Fax:619-441-1908
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health