Provider Demographics
NPI:1043426000
Name:POULAIN, SARAH CATHERINE MARX (LMFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE MARX
Last Name:POULAIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:CARHERINE
Other - Last Name:MARX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTI
Mailing Address - Street 1:16386 FLINTLOCK CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-9342
Mailing Address - Country:US
Mailing Address - Phone:408-439-4476
Mailing Address - Fax:
Practice Address - Street 1:16386 FLINTLOCK CT
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-9342
Practice Address - Country:US
Practice Address - Phone:408-439-4476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82226106H00000X
CAIMF 52243106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist