Healthcare Provider Details

I. General information

NPI: 1265258123
Provider Name (Legal Business Name): SARAH HUA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 8TH ST
OAKLAND CA
94607-4707
US

IV. Provider business mailing address

2815 39TH AVE
SAN FRANCISCO CA
94116-2744
US

V. Phone/Fax

Practice location:
  • Phone: 510-986-6800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number18024
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number150586
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: