Provider Demographics
NPI:1326418088
Name:BARRETT, SARAH (LPC, CADC I, CCTP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LPC, CADC I, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1755 N TOMAHAWK ISLAND DR # 1036
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-8108
Mailing Address - Country:US
Mailing Address - Phone:971-704-2484
Mailing Address - Fax:
Practice Address - Street 1:1 12TH ST STE 208
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:OR
Practice Address - Zip Code:97103-4146
Practice Address - Country:US
Practice Address - Phone:971-704-2484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
ORC5106101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)