Provider Demographics
NPI:1326864208
Name:SAPUNAR, SIERRA (CPC-1)
Entity type:Individual
Prefix:MS
First Name:SIERRA
Middle Name:
Last Name:SAPUNAR
Suffix:
Gender:F
Credentials:CPC-1
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:M
Other - Last Name:SAPUNAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2445 FIRE MESA ST STE 190
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-9015
Mailing Address - Country:US
Mailing Address - Phone:702-456-4262
Mailing Address - Fax:702-745-4262
Practice Address - Street 1:2445 FIRE MESA ST STE 190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-9015
Practice Address - Country:US
Practice Address - Phone:702-456-4262
Practice Address - Fax:702-745-4262
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCI5489101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional