Provider Demographics
NPI:1093388662
Name:ARRIETA, SARAH KATHLEEN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:KATHLEEN
Last Name:ARRIETA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20503 28TH AVE W UNIT A
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7820
Mailing Address - Country:US
Mailing Address - Phone:541-915-1908
Mailing Address - Fax:
Practice Address - Street 1:19527 104TH AVE NE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-2401
Practice Address - Country:US
Practice Address - Phone:425-486-7103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60795996101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health