Provider Demographics
NPI:1245725803
Name:CHRISTMAN, SARAH MINH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:MINH
Last Name:CHRISTMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 SOUTH ST APT B
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-5106
Mailing Address - Country:US
Mailing Address - Phone:805-952-3235
Mailing Address - Fax:
Practice Address - Street 1:540 SOUTH ST APT B
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-5106
Practice Address - Country:US
Practice Address - Phone:805-952-3235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health