Provider Demographics
NPI:1770884082
Name:PILGREEN, SARA ILANA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ILANA
Last Name:PILGREEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 551
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93102-0551
Mailing Address - Country:US
Mailing Address - Phone:805-569-2785
Mailing Address - Fax:805-563-1977
Practice Address - Street 1:1136 DE LA VINA ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3114
Practice Address - Country:US
Practice Address - Phone:805-564-3534
Practice Address - Fax:805-563-1977
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health