Provider Demographics
NPI:1083249163
Name:RINCON, SARAH MARIE (LMHCA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARIE
Last Name:RINCON
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 NW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2024
Mailing Address - Country:US
Mailing Address - Phone:323-823-6170
Mailing Address - Fax:
Practice Address - Street 1:1818 E MERCER ST STE 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4689
Practice Address - Country:US
Practice Address - Phone:206-681-6270
Practice Address - Fax:206-321-7654
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61043345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health