Provider Demographics
NPI:1629238266
Name:WHITE, SARAH LOUISE (MS, MFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LOUISE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24050 MADISON ST STE 100M
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6080
Mailing Address - Country:US
Mailing Address - Phone:310-486-1965
Mailing Address - Fax:
Practice Address - Street 1:24050 MADISON ST STE 100M
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6080
Practice Address - Country:US
Practice Address - Phone:310-486-1965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-16
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45731106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist