MEDICARE: SARAH ANN ROBLES

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
1	101YM0800X	Mental Health Counselor
2	106H00000X	Marriage & Family Therapist	51739	CA

General Provider Information

NPI Number	:	1619055183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ANN ROBLES

Provider Business Mailing Address
First Line	:	PO BOX 359
Second Line	:
City	:	MORRO BAY
State	:	CA
Zip	:	93443-0359
Country	:	US
Telephone Number	:	805-570-3450
Fax Number	:

Provider Business Practice Location Address
First Line	:	1722 S LEWIS RD
Second Line	:
City	:	CAMARILLO
State	:	CA
Zip	:	93012-8520
Country	:	US
Telephone Number	:	805-445-7800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/01/2022

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Directions to “ SARAH ANN ROBLES ” Practice Location

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