Provider Demographics
NPI:1023242161
Name:PALMER, SARAH ANN (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:ANN
Last Name:PALMER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MS
Other - First Name:SALLY
Other - Middle Name:ANN
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC, QMHP
Mailing Address - Street 1:27194 ROWELL HILL RD
Mailing Address - Street 2:
Mailing Address - City:SWEET HOME
Mailing Address - State:OR
Mailing Address - Zip Code:97386-9606
Mailing Address - Country:US
Mailing Address - Phone:541-556-5605
Mailing Address - Fax:541-556-5605
Practice Address - Street 1:27194 ROWELL HILL RD
Practice Address - Street 2:
Practice Address - City:SWEET HOME
Practice Address - State:OR
Practice Address - Zip Code:97386-9606
Practice Address - Country:US
Practice Address - Phone:541-556-5605
Practice Address - Fax:541-556-5605
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2014-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3117101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional