Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 3751 | CO |
NPI | 1003406190 |
---|---|
Provider Name | Sarah Barrett Lepore |
First Address | Ventura, CA 93001-4060 |
Second Address | Ventura, CA 93001-4060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2021 |
Last Update Date | 22/01/2021 |