Provider Demographics
NPI:1346440161
Name:ALBRIGHT, SAGE KATHERINE (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:SAGE
Middle Name:KATHERINE
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:MS
Other - First Name:SAGE
Other - Middle Name:KATHERINE
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:960 HARRIS AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7025
Mailing Address - Country:US
Mailing Address - Phone:208-995-9010
Mailing Address - Fax:
Practice Address - Street 1:960 HARRIS AVE STE 204
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7025
Practice Address - Country:US
Practice Address - Phone:208-424-0478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61205112106H00000X
ID2676106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDQ7405OtherBLUE CROSS OF IDAHO TRADI