Healthcare Provider Details

I. General information

NPI: 1326646357
Provider Name (Legal Business Name): DANIELLE FRANCES TIPTON SAGARMINAGA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE FRANCES TIPTON LMFT

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 PARK ST # 1310
ALAMEDA CA
94501-4507
US

IV. Provider business mailing address

1311 PARK ST # 1310
ALAMEDA CA
94501-4507
US

V. Phone/Fax

Practice location:
  • Phone: 510-588-3335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number150605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: