Provider Demographics
NPI:1508411240
Name:DUNHAM, SARA KATE (LMHCA)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:KATE
Last Name:DUNHAM
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:MISS
Other - First Name:SARA
Other - Middle Name:KATE
Other - Last Name:ASHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1262 SW ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1915
Mailing Address - Country:US
Mailing Address - Phone:602-451-4168
Mailing Address - Fax:
Practice Address - Street 1:4500 9TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4737
Practice Address - Country:US
Practice Address - Phone:425-202-5135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC0969708101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health