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Sarah Rose Forman
Counselor in Camarillo, California
NPI 1689976334

Sarah Rose Forman is a Counselor based in Camarillo, CA. Sarah Rose Forman practices in Camarillo, CA. The NPI Number for Sarah Rose Forman is 1689976334 and holds a License No. (California).

The current practice location address for Sarah Rose Forman is 1722 S Lewis Rd, Camarillo, CA and can be reached out via phone at 805-445-7800. You can also correspond with Sarah Rose Forman through the mailing address at 1722 S LEWIS RD, CAMARILLO, CA - 93012-8520 (mailing address contact number: 805-445-7800).

Location: 1722 S Lewis Rd, Camarillo, CA, 93012-8520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689976334
Provider Name
Sarah Rose Forman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1722 S Lewis Rd, Camarillo, CA, 93012-8520
Phone Number
805-445-7800
Fax Number
Provider Enumeration Date
12/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1722 S Lewis Rd
City
Camarillo
State
California
Zip
93012-8520
Phone Number
805-445-7800
Fax Number
person
Provider Business Mailing Address Details
Address
1722 S Lewis Rd
City
Camarillo
State
California
Zip
93012-8520
Phone Number
805-445-7800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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