Healthcare Provider Details

I. General information

NPI: 1407766454
Provider Name (Legal Business Name): SARAH HOOGERWERF, LICENSED PROFESSIONAL CLINICAL COUNSELOR, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 COMSTOCK ST # 710101
SAN DIEGO CA
92111-6689
US

IV. Provider business mailing address

2150 COMSTOCK ST # 710101
SAN DIEGO CA
92111-6689
US

V. Phone/Fax

Practice location:
  • Phone: 619-848-6007
  • Fax:
Mailing address:
  • Phone: 619-848-6007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARAH HOOGERWERF
Title or Position: OWNER/CLINICIAN
Credential: LPCC
Phone: 619-848-6007