Provider Demographics
NPI:1316335755
Name:KNIGHT, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:82820 TRONA RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:TRONA
Mailing Address - State:CA
Mailing Address - Zip Code:93562
Mailing Address - Country:US
Mailing Address - Phone:760-372-5159
Mailing Address - Fax:
Practice Address - Street 1:82820 TRONA RD
Practice Address - Street 2:SUITE C
Practice Address - City:TRONA
Practice Address - State:CA
Practice Address - Zip Code:93562
Practice Address - Country:US
Practice Address - Phone:760-372-5159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor