Provider Demographics
NPI:1881975431
Name:BROWN, SARAH REBECCA (C-AA, LMHCA)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:REBECCA
Last Name:BROWN
Suffix:
Gender:F
Credentials:C-AA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2225 44TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-2113
Mailing Address - Country:US
Mailing Address - Phone:770-654-3485
Mailing Address - Fax:
Practice Address - Street 1:3280 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3387
Practice Address - Country:US
Practice Address - Phone:770-654-3485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006204367H00000X
WAMC60885249101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health