Provider Demographics
NPI:1225396385
Name:FARR, SIERRA ROSE (MA)
Entity Type:Individual
Prefix:MISS
First Name:SIERRA
Middle Name:ROSE
Last Name:FARR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 PONDEROSA CT
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-5367
Mailing Address - Country:US
Mailing Address - Phone:360-510-7131
Mailing Address - Fax:
Practice Address - Street 1:2031 PONDEROSA CT
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-5367
Practice Address - Country:US
Practice Address - Phone:360-510-7131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-26
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health