Provider Demographics
NPI:1457074452
Name:SARAH JENNINGS WRAY LICENSED MARRIAGE & FAMILY THERAPIST INC
Entity Type:Organization
Organization Name:SARAH JENNINGS WRAY LICENSED MARRIAGE & FAMILY THERAPIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:JENNINGS
Authorized Official - Last Name:WRAY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:661-367-1312
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91041-0155
Mailing Address - Country:US
Mailing Address - Phone:661-367-1312
Mailing Address - Fax:
Practice Address - Street 1:23638 NEWHALL AVE STE 6-1001
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-4234
Practice Address - Country:US
Practice Address - Phone:661-367-1312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty