Provider Demographics
NPI:1093292245
Name:VERBURG-SACHS, DEVORAH ROSE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:DEVORAH
Middle Name:ROSE
Last Name:VERBURG-SACHS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:DEVORAH
Other - Middle Name:ROSE
Other - Last Name:SACHS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:13256 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-4002
Mailing Address - Country:US
Mailing Address - Phone:206-371-3050
Mailing Address - Fax:
Practice Address - Street 1:13256 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98177-4002
Practice Address - Country:US
Practice Address - Phone:120-637-1305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004104101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health