Provider Demographics
NPI:1033553102
Name:HODSON, SARAH LYNN (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:LYNN
Last Name:HODSON
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 GRAYSON CT
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:NM
Mailing Address - Zip Code:88101-3938
Mailing Address - Country:US
Mailing Address - Phone:575-749-0446
Mailing Address - Fax:575-935-0400
Practice Address - Street 1:1917 GRAYSON CT
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:NM
Practice Address - Zip Code:88101-3938
Practice Address - Country:US
Practice Address - Phone:575-749-0446
Practice Address - Fax:575-935-0400
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-0153731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health