Provider Demographics
NPI:1598590796
Name:SABAJ, MARISOL SERRATO (APCC)
Entity type:Individual
Prefix:MRS
First Name:MARISOL
Middle Name:SERRATO
Last Name:SABAJ
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27851 BRADLEY RD STE 160
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92586-2244
Mailing Address - Country:US
Mailing Address - Phone:951-297-7714
Mailing Address - Fax:
Practice Address - Street 1:27851 BRADLEY RD STE 160
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-2244
Practice Address - Country:US
Practice Address - Phone:951-297-7714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20750101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty