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NPI Code Detail

MEDICARE: SARAH COBERLY

MEDICARE: SARAH COBERLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorR1618460625CA

General Provider Information

NPI Number : 1487505475
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH COBERLY
Provider Business Mailing Address
First Line : 7128 W WHITMAN AVE
Second Line :
City : FRESNO
State : CA
Zip : 93723-4100
Country : US
Telephone Number : 707-435-0704
Fax Number :
Provider Business Practice Location Address
First Line : 1143 MISSOURI ST
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-6007
Country : US
Telephone Number : 707-435-0704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ SARAH COBERLY ” Practice Location

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