Provider Demographics
NPI:1790932374
Name:SABLE, KARIN A (MFT)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:A
Last Name:SABLE
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:PO BOX 6435
Mailing Address - Street 2:
Mailing Address - City:TAHOE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:96145-6435
Mailing Address - Country:US
Mailing Address - Phone:530-581-0339
Mailing Address - Fax:
Practice Address - Street 1:3080 NORTH LAKE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:TAHOE CITY
Practice Address - State:CA
Practice Address - Zip Code:96145
Practice Address - Country:US
Practice Address - Phone:530-581-0339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-26
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health