Provider Demographics
NPI:1639722440
Name:VAZQUEZ-CUTLER, SARA (LMFT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:VAZQUEZ-CUTLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 N FOWLER AVE APT 113
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6695
Mailing Address - Country:US
Mailing Address - Phone:559-458-3883
Mailing Address - Fax:
Practice Address - Street 1:745 N FOWLER AVE APT 113
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6695
Practice Address - Country:US
Practice Address - Phone:559-458-3883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-20
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA143622106H00000X
CA114459106H00000X
CALMFT143622106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist