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NPI Code Detail

MEDICARE: SARAH THOMAS FAZELI AMFT

MEDICARE:   SARAH THOMAS FAZELI  AMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor15847830CA

General Provider Information

NPI Number : 1427888148
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH THOMAS FAZELI AMFT
Provider Business Mailing Address
First Line : 3281 E GUASTI RD STE 600
Second Line :
City : ONTARIO
State : CA
Zip : 91761-7611
Country : US
Telephone Number : 877-462-7735
Fax Number :
Provider Business Practice Location Address
First Line : 3281 E GUASTI RD STE 600
Second Line :
City : ONTARIO
State : CA
Zip : 91761-7611
Country : US
Telephone Number : 877-462-7735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 02/27/2026

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Directions to “ SARAH THOMAS FAZELI AMFT” Practice Location

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