Doctor Name: | MS. SARAH LISA BENNETT |
NPI Number: | 1003098682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LMHC |
License Number: | LH00005977 |
Business Practice Address: | 3021 6th Ave Tacoma, WA - 984066202 |
Business Phone Number: | 2533262816 |
Business Fax Number: | |
Mailing Address: | 1420 S Cedar St, TACOMA |
State: | WA |
Postal Code: | 984052441 |
Phone Number: | 2534685300 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 05/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LH00005977 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |