Provider Demographics
NPI:1396056115
Name:BATTLES, SARAH BROOK
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BROOK
Last Name:BATTLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2436 MISSION RD
Mailing Address - Street 2:
Mailing Address - City:NORTH POLE
Mailing Address - State:AK
Mailing Address - Zip Code:99705-6327
Mailing Address - Country:US
Mailing Address - Phone:907-488-4122
Mailing Address - Fax:
Practice Address - Street 1:2436 MISSION RD
Practice Address - Street 2:
Practice Address - City:NORTH POLE
Practice Address - State:AK
Practice Address - Zip Code:99705-6327
Practice Address - Country:US
Practice Address - Phone:907-488-4122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-25
Last Update Date:2010-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor