Provider Demographics
NPI:1891102349
Name:SARABIA, JHOANA
Entity Type:Individual
Prefix:
First Name:JHOANA
Middle Name:
Last Name:SARABIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JHOANA
Other - Middle Name:L
Other - Last Name:SARABIA MALDONADO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2100 GENG RD STE 210
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3307
Mailing Address - Country:US
Mailing Address - Phone:833-646-3243
Mailing Address - Fax:
Practice Address - Street 1:2100 GENG RD STE 210
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-3307
Practice Address - Country:US
Practice Address - Phone:833-646-3243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89302104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker