Provider Demographics
NPI:1336373703
Name:KEREM, SARAH YAEL (MFT)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:YAEL
Last Name:KEREM
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:YAEL
Other - Middle Name:SARAH
Other - Last Name:KEREM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT
Mailing Address - Street 1:310 NATOMA ST
Mailing Address - Street 2:STE 140
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-2620
Mailing Address - Country:US
Mailing Address - Phone:916-985-7212
Mailing Address - Fax:
Practice Address - Street 1:310 NATOMA ST
Practice Address - Street 2:STE 140
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-2620
Practice Address - Country:US
Practice Address - Phone:916-985-7212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39860106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist