Provider Demographics
NPI:1639491079
Name:NONA, SARA (IMF)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:NONA
Suffix:
Gender:F
Credentials:IMF
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:ABBOU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IMF
Mailing Address - Street 1:9826 IVY ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-7029
Mailing Address - Country:US
Mailing Address - Phone:619-504-6718
Mailing Address - Fax:
Practice Address - Street 1:9826 IVY ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-7029
Practice Address - Country:US
Practice Address - Phone:195-046-7186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60611106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist