Healthcare Provider Details
I. General information
NPI: 1154255768
Provider Name (Legal Business Name): SARAH JEANETTE ZARESERESHTHAGH
Entity Type: Individual
Gender:
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6444 WALERGA RD
NORTH HIGHLANDS CA
95660-3945
US
IV. Provider business mailing address
5115 DUDLEY BLVD BAY C
MCCLELLAN CA
95652-1024
US
V. Phone/Fax
- Phone: 916-566-3470
- Fax:
- Phone: 916-566-3470
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YS0200X |
| Taxonomy | School Counselor |
| License Number | |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: