Healthcare Provider Details

I. General information

NPI: 1093282667
Provider Name (Legal Business Name): SARAH NAOMI SWEENEY NCMA,CAA, SUDPT,MHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2018
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

682 SW FAIRHAVEN DR
OAK HARBOR WA
98277-4533
US

IV. Provider business mailing address

682 SW FAIRHAVEN DR
OAK HARBOR WA
98277-4533
US

V. Phone/Fax

Practice location:
  • Phone: 564-676-1289
  • Fax:
Mailing address:
  • Phone: 564-676-1289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCG61492618
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCG61492618
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number70090141
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCG61492618
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: