Sandra Mae Terifaj

Individual provider Active NPI Marriage & Family Therapist · Desert Hot Springs, CA

NPI 1194479428 · NPPES record last updated Feb 6, 2022

Key facts

NPI
1194479428
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
LMFT23231 (CA)
Practice address
11662 Evening Sky Dr
Desert Hot Springs, CA 92240-2031
Phone
(714) 319-5342
NPI assigned
Feb 6, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LMFT23231CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT23231 CA Yes

Addresses

Primary practice location

11662 Evening Sky Dr
Desert Hot Springs, CA 92240-2031

Mailing address

11662 Evening Sky Dr
Desert Hot Springs, CA 92240-2031
Phone (714) 319-5342

Other providers in Desert Hot Springs, CA

All providers in Desert Hot Springs, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.