Sage Mountainfire
NPI #1003021635 in Ukiah, California
Provider Information
- NPI Number
- 1003021635
- Entity Type
- Individual
- Name
- Sage Mountainfire
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 14, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 290 E GOBBI ST
- City
- Ukiah
- State
- California
- ZIP Code
- 95482-5559
- Phone
- (707) 463-3300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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