Provider Demographics
NPI:1659587533
Name:SAPAG, KARINA GABRIELA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:GABRIELA
Last Name:SAPAG
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ALLERTON ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1519
Mailing Address - Country:US
Mailing Address - Phone:659-365-4631
Mailing Address - Fax:650-365-4531
Practice Address - Street 1:500 ALLERTON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1519
Practice Address - Country:US
Practice Address - Phone:659-365-4631
Practice Address - Fax:650-365-4531
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39114106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist