Provider Demographics
NPI:1063222024
Name:DUCASSE, SABINA N (AMFT)
Entity type:Individual
Prefix:
First Name:SABINA
Middle Name:N
Last Name:DUCASSE
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:597 PEACHWOOD PL
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-6501
Mailing Address - Country:US
Mailing Address - Phone:951-660-6974
Mailing Address - Fax:
Practice Address - Street 1:4091 RIVERSIDE DR STE 103
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-3195
Practice Address - Country:US
Practice Address - Phone:951-394-3551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health