Provider Demographics
NPI:1942782511
Name:JURRENS, SARAH BETH (LPC ASSOC, MHC ASSOC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:JURRENS
Suffix:
Gender:F
Credentials:LPC ASSOC, MHC ASSOC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:BETH
Other - Last Name:PLATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1750 SW GOLF CREEK DR APT C
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6395
Mailing Address - Country:US
Mailing Address - Phone:971-645-3294
Mailing Address - Fax:
Practice Address - Street 1:1601 E FOURTH PLAIN BLVD BLDG 17
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-3717
Practice Address - Country:US
Practice Address - Phone:360-397-8484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR6634101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health