Provider Demographics
NPI:1659891406
Name:HAYES, SARAH (MED COUN PSYCH)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HAYES
Suffix:
Gender:F
Credentials:MED COUN PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 ALPINE BOULIVARD
Mailing Address - Street 2:ALPINE SPECIAL TREATMENT CENTER
Mailing Address - City:ALPINE
Mailing Address - State:CA
Mailing Address - Zip Code:91901
Mailing Address - Country:US
Mailing Address - Phone:619-722-7319
Mailing Address - Fax:619-722-6327
Practice Address - Street 1:2120 ALPINE BLVD
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:CA
Practice Address - Zip Code:91901-2113
Practice Address - Country:US
Practice Address - Phone:619-722-7319
Practice Address - Fax:619-722-6327
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health