Provider Demographics
NPI:1548823024
Name:BORRUD, SARAH ALDRICH (LMFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ALDRICH
Last Name:BORRUD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 SADDLEBACK CT
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1046
Mailing Address - Country:US
Mailing Address - Phone:818-669-8455
Mailing Address - Fax:
Practice Address - Street 1:3125 SADDLEBACK CT
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1046
Practice Address - Country:US
Practice Address - Phone:818-669-8455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-19
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129845106H00000X
CAAMFT105728106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist