Healthcare Provider Details

I. General information

NPI: 1093679086
Provider Name (Legal Business Name): SAGE AND SOUND PROFESSIONAL CLINICAL COUNSELOR INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 19TH ST STE 330
BAKERSFIELD CA
93301-4465
US

IV. Provider business mailing address

1527 19TH ST STE 330
BAKERSFIELD CA
93301-4465
US

V. Phone/Fax

Practice location:
  • Phone: 949-342-8600
  • Fax: 949-342-8692
Mailing address:
  • Phone: 949-342-8600
  • Fax: 949-342-8692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MARI BURGESS
Title or Position: PRESIDENT/THERAPIST
Credential: LPCC
Phone: 949-324-8600