Sage Dakota, M.S., IMF-I

NPI 1386777910 · on the registry since 2007 · sole proprietor

Practice

Address: 15317 Rayen St
North Hills, CA 91343
Phone: (818) 332-8277
Fax: (818) 920-4433
Organisation at this address: Penny Lane Center
Communinty Alcohol & Drug Foundation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 69

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California