| Doctor Name: | SARAH CALLOW-ST. GEORGE |
| NPI Number: | 1043686983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. |
| License Number: | PCCI783 |
| Business Practice Address: | 18811 Huntington St Ste 200 Huntington Beach, CA - 926486003 |
| Business Phone Number: | 7143236163 |
| Business Fax Number: | |
| Mailing Address: | 405 20th St Apt B, HUNTINGTON BEACH |
| State: | CA |
| Postal Code: | 926483858 |
| Phone Number: | 7143236163 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2015 |
| NPI Last Update Date: | 08/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PCCI783 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |