Provider Demographics
NPI:1346541471
Name:CAMPOS, SARINA C (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SARINA
Middle Name:C
Last Name:CAMPOS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SARINA
Other - Middle Name:C
Other - Last Name:OCANAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:86 N 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1104
Mailing Address - Country:US
Mailing Address - Phone:408-306-3828
Mailing Address - Fax:
Practice Address - Street 1:185 MARTINVALE LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1319
Practice Address - Country:US
Practice Address - Phone:408-207-0070
Practice Address - Fax:408-207-0075
Is Sole Proprietor?:No
Enumeration Date:2010-11-05
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93276106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist