Provider Demographics
NPI:1891711818
Name:SAUNDERS, ROBERTA (MFT)
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:SAUNDERS
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 1:7180 EVAN AVE
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4424
Mailing Address - Country:US
Mailing Address - Phone:707-829-8373
Mailing Address - Fax:707-823-9435
Practice Address - Street 1:100 AVRAM AVE
Practice Address - Street 2:104A
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-3158
Practice Address - Country:US
Practice Address - Phone:707-829-8373
Practice Address - Fax:707-823-9435
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC20071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health