Provider Demographics
NPI:1740520493
Name:GIRON, SARA GAEL (MA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:GAEL
Last Name:GIRON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2475 BROADWAY ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-4249
Mailing Address - Country:US
Mailing Address - Phone:575-770-2148
Mailing Address - Fax:
Practice Address - Street 1:2475 BROADWAY ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-4249
Practice Address - Country:US
Practice Address - Phone:575-770-2148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-17
Last Update Date:2013-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health