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Contact Information

SARA R VAN KONINGSVELD
225 W BROADWAY STE 155
GLENDALE, CA91204-1332
 Phone: 818-441-7800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Dance Therapist

225600000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for SARA R VAN KONINGSVELD · (Female)

NPI Number 1104101310
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2011
Last updated 04/20/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • License # BCDMT1207
  • CA License # LPCC8233
  • UT License # 13952768-6004
  • WI License # LPC10289
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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