Provider Demographics
NPI:1740409861
Name:FOLAND, SARAH WEILER (MFT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:WEILER
Last Name:FOLAND
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 1:301 D ST
Mailing Address - Street 2:
Mailing Address - City:CAYUCOS
Mailing Address - State:CA
Mailing Address - Zip Code:93430-1153
Mailing Address - Country:US
Mailing Address - Phone:805-995-0805
Mailing Address - Fax:805-995-2948
Practice Address - Street 1:645 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:MORRO BAY
Practice Address - State:CA
Practice Address - Zip Code:93442-2273
Practice Address - Country:US
Practice Address - Phone:805-305-9022
Practice Address - Fax:805-995-2948
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32569106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC32569OtherLICENSE NUMBER