Provider Demographics
NPI:1003489899
Name:MCDANIEL, SARA ANNE (MS, LMFT)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ANNE
Last Name:MCDANIEL
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5980 WEBB ST
Mailing Address - Street 2:
Mailing Address - City:LOOMIS
Mailing Address - State:CA
Mailing Address - Zip Code:95650-7625
Mailing Address - Country:US
Mailing Address - Phone:916-652-0171
Mailing Address - Fax:916-652-3979
Practice Address - Street 1:5980 WEBB ST
Practice Address - Street 2:
Practice Address - City:LOOMIS
Practice Address - State:CA
Practice Address - Zip Code:95650-7625
Practice Address - Country:US
Practice Address - Phone:916-652-0171
Practice Address - Fax:916-652-3979
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
CALMFT152549106H00000X
CAAMFT134615101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health