Provider Demographics
NPI:1689935587
Name:MUELLER-STEPHENS, SARAH SIMPSON (LPC, MA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SIMPSON
Last Name:MUELLER-STEPHENS
Suffix:
Gender:F
Credentials:LPC, MA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:SIMPSON
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:4116 SE 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-3602
Mailing Address - Country:US
Mailing Address - Phone:208-866-1401
Mailing Address - Fax:
Practice Address - Street 1:1235 SE DIVISION ST STE 106C
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202
Practice Address - Country:US
Practice Address - Phone:208-866-1401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator