Healthcare Provider Details

I. General information

NPI: 1740757509
Provider Name (Legal Business Name): SARAH MICHELLE WURZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2018
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2425 BISSO LN STE 100
CONCORD CA
94520-4817
US

IV. Provider business mailing address

2425 BISSO LN STE 100
CONCORD CA
94520-4817
US

V. Phone/Fax

Practice location:
  • Phone: 925-521-5655
  • Fax:
Mailing address:
  • Phone: 925-446-1754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: