MEDICARE: SARA MUCKLER MA, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH60558817	WA
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1376882910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA MUCKLER MA, LMHC

Provider Business Mailing Address
First Line	:	1644 PLAZA WAY # 410
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-4325
Country	:	US
Telephone Number	:	206-605-6329
Fax Number	:

Provider Business Practice Location Address
First Line	:	1644 PLAZA WAY # 410
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-4325
Country	:	US
Telephone Number	:	206-605-6329
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2013
Last Update Date	:	04/03/2025

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Directions to “ SARA MUCKLER MA, LMHC” Practice Location

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