Healthcare Provider Details

I. General information

NPI: 1306759691
Provider Name (Legal Business Name): SARA CRISTINA GUERRERO URRUTIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 WILLOW PASS RD STE 700
CONCORD CA
94520-7926
US

IV. Provider business mailing address

1526 42ND AVE
SAN FRANCISCO CA
94122-3042
US

V. Phone/Fax

Practice location:
  • Phone: 415-583-1644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20965
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159091
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: