Provider Demographics
NPI:1306244900
Name:DARDICK, SARAH (MS, LMFT, LPCC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:
Last Name:DARDICK
Suffix:
Gender:F
Credentials:MS, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 TARAVAL ST APT 102
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-2443
Mailing Address - Country:US
Mailing Address - Phone:415-483-5679
Mailing Address - Fax:
Practice Address - Street 1:1255 TARAVAL ST APT 102
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2443
Practice Address - Country:US
Practice Address - Phone:415-483-5679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-12
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6287101YM0800X, 101YP2500X
CA82131106H00000X
CA107221106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional