Provider Demographics
NPI:1477172781
Name:SADDLER, YAZMIN MARIANA (LMFT)
Entity type:Individual
Prefix:
First Name:YAZMIN
Middle Name:MARIANA
Last Name:SADDLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OAK CREST CT APT C
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-4750
Mailing Address - Country:US
Mailing Address - Phone:415-521-9108
Mailing Address - Fax:
Practice Address - Street 1:1682 NOVATO BLVD STE 105
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94947-0001
Practice Address - Country:US
Practice Address - Phone:415-521-9108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99571106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist