Provider Demographics
NPI:1619309416
Name:WENDLER, SARA ANN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:ANN
Last Name:WENDLER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 EAST 26TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98421-1108
Mailing Address - Country:US
Mailing Address - Phone:253-597-6424
Mailing Address - Fax:253-597-6443
Practice Address - Street 1:101 EAST 26TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98421-1108
Practice Address - Country:US
Practice Address - Phone:253-597-6424
Practice Address - Fax:253-597-6443
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60526900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8952649OtherCRIME VICTIMS COMPENSATION PROGRAM