Provider Demographics
NPI:1972845550
Name:NUNLEY, SARAH SUELLON (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:SUELLON
Last Name:NUNLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34630 BOROS BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-7465
Mailing Address - Country:US
Mailing Address - Phone:951-202-7727
Mailing Address - Fax:
Practice Address - Street 1:620 EDGAR AVE
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-2130
Practice Address - Country:US
Practice Address - Phone:951-327-9258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-21
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87986106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist