Provider Demographics
NPI:1073911269
Name:JAMES PEARSE, SARAH (LMHC, CDPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:JAMES PEARSE
Suffix:
Gender:F
Credentials:LMHC, CDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4717 DURHAM ST SE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98503-2194
Mailing Address - Country:US
Mailing Address - Phone:503-442-1635
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:4717 DURHAM ST SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-2194
Practice Address - Country:US
Practice Address - Phone:503-442-1635
Practice Address - Fax:206-302-2210
Is Sole Proprietor?:No
Enumeration Date:2014-12-20
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)