Provider Demographics
NPI:1932800224
Name:CANCINO, SARAHI
Entity type:Individual
Prefix:MRS
First Name:SARAHI
Middle Name:
Last Name:CANCINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19025 JOSHUA ST
Mailing Address - Street 2:
Mailing Address - City:ADELANTO
Mailing Address - State:CA
Mailing Address - Zip Code:92301
Mailing Address - Country:US
Mailing Address - Phone:760-605-6578
Mailing Address - Fax:
Practice Address - Street 1:19025 JOSHUA ST
Practice Address - Street 2:
Practice Address - City:ADELANTO
Practice Address - State:CA
Practice Address - Zip Code:92301
Practice Address - Country:US
Practice Address - Phone:760-605-6578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker