MEDICARE: MS. SARA CHRISTINE DILLON

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

General Provider Information

NPI Number	:	1396093944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARA CHRISTINE DILLON

Provider Business Mailing Address
First Line	:	19712 50TH AVE W
Second Line	:	APT 2
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6449
Country	:	US
Telephone Number	:	860-573-0362
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 JEFFERSON ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-2473
Country	:	US
Telephone Number	:	206-744-5200
Fax Number	:

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

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	03/08/2016

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