Provider Demographics
NPI:1770866790
Name:DREHER, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:DREHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4993 GOLDEN FOOTHILL PKWY STE 5
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-9642
Mailing Address - Country:US
Mailing Address - Phone:916-941-8812
Mailing Address - Fax:916-941-8815
Practice Address - Street 1:4993 GOLDEN FOOTHILL PKWY STE 5
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9642
Practice Address - Country:US
Practice Address - Phone:916-941-8812
Practice Address - Fax:916-941-8815
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA94-2148477Medicaid