Provider Demographics
NPI:1588953145
Name:FUHRING, SANDRA JEAN (MS, IMF)
Entity type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:JEAN
Last Name:FUHRING
Suffix:
Gender:F
Credentials:MS, IMF
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:JEAN
Other - Last Name:GIBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, IMF
Mailing Address - Street 1:218 CARMEN LN
Mailing Address - Street 2:#108
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7772
Mailing Address - Country:US
Mailing Address - Phone:805-266-0052
Mailing Address - Fax:805-614-9363
Practice Address - Street 1:218 CARMEN LN
Practice Address - Street 2:#108
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93458-7772
Practice Address - Country:US
Practice Address - Phone:805-266-0052
Practice Address - Fax:805-614-9363
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF71477106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist