Provider Demographics
NPI:1619852225
Name:FLORES MARTINEZ, SARA PAOLA (LPCC 19428)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:PAOLA
Last Name:FLORES MARTINEZ
Suffix:
Gender:F
Credentials:LPCC 19428
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 LAUREL ST. STE A
Mailing Address - Street 2:#501
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-1623
Mailing Address - Country:US
Mailing Address - Phone:929-458-4872
Mailing Address - Fax:
Practice Address - Street 1:2684 B ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-1022
Practice Address - Country:US
Practice Address - Phone:929-458-4872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19428101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health