Provider Demographics
NPI:1548564420
Name:MCLAREN, SARAH BETH (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:MCLAREN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:BETH
Other - Last Name:JAMISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1426
Mailing Address - Street 2:
Mailing Address - City:TALENT
Mailing Address - State:OR
Mailing Address - Zip Code:97540-1426
Mailing Address - Country:US
Mailing Address - Phone:541-631-0012
Mailing Address - Fax:541-631-2638
Practice Address - Street 1:33 N CENTRAL AVE STE 309
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-5939
Practice Address - Country:US
Practice Address - Phone:541-441-8226
Practice Address - Fax:541-631-2638
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3151101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500660651Medicaid