Provider Demographics
NPI:1427375393
Name:BOELMAN, SARA (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:BOELMAN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5224 OLYMPIC DR STE 214
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1792
Mailing Address - Country:US
Mailing Address - Phone:253-319-3395
Mailing Address - Fax:253-218-6765
Practice Address - Street 1:5224 OLYMPIC DR STE 214
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1792
Practice Address - Country:US
Practice Address - Phone:253-319-3395
Practice Address - Fax:253-218-6765
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
WALF 60566351106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist