Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sara Provence LMFT

Organization Marriage & Family Therapist · NPI 1134828403

Sara Provence LMFT is a Marriage & Family Therapist in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

3455 Ingraham St
San Diego, CA 92109-6713
Phone: (619) 723-6004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1134828403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Provence — Lmft (Therapist) · (619) 354-2249
NPI enumeratedFebruary 27, 2023
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023
Mailing address9528 Miramar Rd, San Diego, CA 92126-4533

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