Provider Demographics
NPI:1992937122
Name:MCCALESTER, SARA ROSA (BA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:ROSA
Last Name:MCCALESTER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22501 CHASE
Mailing Address - Street 2:APT 15205
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-6094
Mailing Address - Country:US
Mailing Address - Phone:714-393-3949
Mailing Address - Fax:
Practice Address - Street 1:22501 CHASE
Practice Address - Street 2:APT 15205
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-6094
Practice Address - Country:US
Practice Address - Phone:714-393-3949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist