Healthcare Provider Details

I. General information

NPI: 1457267205
Provider Name (Legal Business Name): KATHERINE SARGENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 BEL MARIN KEYS BLVD
NOVATO CA
94949
US

IV. Provider business mailing address

51 BELLE AVE
SAN ANSELMO CA
94960-2806
US

V. Phone/Fax

Practice location:
  • Phone: 415-444-5580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: