Provider Demographics
NPI:1487780607
Name:SARACHO, MERIDA (LMFT)
Entity type:Individual
Prefix:
First Name:MERIDA
Middle Name:
Last Name:SARACHO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MERIDA
Other - Middle Name:
Other - Last Name:JONAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:850 E FOOTHILL BLVD # A
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-5230
Mailing Address - Country:US
Mailing Address - Phone:909-421-9300
Mailing Address - Fax:909-421-9411
Practice Address - Street 1:850 E FOOTHILL BLVD # A
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-5230
Practice Address - Country:US
Practice Address - Phone:909-421-9300
Practice Address - Fax:909-421-9411
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT37216101YA0400X, 101YS0200X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist