Provider Demographics
NPI:1336579382
Name:NAIR, SAPNA (LPCC, SUDCC)
Entity Type:Individual
Prefix:
First Name:SAPNA
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:LPCC, SUDCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CLOCK TOWER PL STE E204
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-8790
Mailing Address - Country:US
Mailing Address - Phone:831-392-6203
Mailing Address - Fax:
Practice Address - Street 1:1172 5TH ST APT 1
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-3542
Practice Address - Country:US
Practice Address - Phone:831-392-6203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-12
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASUDCC8061101YA0400X
CARI-N1309261321101YA0400X
CA9241101YP2500X, 1041C0700X
CALPCC9241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical