Doctor Name: | SARAH JANE DURHAM |
NPI Number: | 1043377971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | CP60160919 |
Business Practice Address: | 6100 Southcenter Blvd Suite 200 Tukwila, WA - 981882441 |
Business Phone Number: | 2064447805 |
Business Fax Number: | 2064447810 |
Mailing Address: | 1600 E Olive St, Seattle Mental Health SEATTLE |
State: | WA |
Postal Code: | 981222735 |
Phone Number: | 2063022200 |
Fax Number: | 2063022210 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 03/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP60160919 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |