Provider Demographics
NPI:1821172438
Name:BOSS, SARAH W (LMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:W
Last Name:BOSS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:J
Other - Last Name:WHITTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1313 E MAPLE ST STE 214
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5708
Mailing Address - Country:US
Mailing Address - Phone:360-979-0059
Mailing Address - Fax:360-685-4222
Practice Address - Street 1:1313 E MAPLE ST STE 214
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5708
Practice Address - Country:US
Practice Address - Phone:360-979-0059
Practice Address - Fax:360-685-4222
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003792101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional