Healthcare Provider Details

I. General information

NPI: 1225383441
Provider Name (Legal Business Name): SARAH DOCHOW CN, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2012
Last Update Date: 10/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N 34TH ST STE 421
SEATTLE WA
98103-8604
US

IV. Provider business mailing address

600 N 34TH ST STE 421
SEATTLE WA
98103-8604
US

V. Phone/Fax

Practice location:
  • Phone: 206-676-2011
  • Fax:
Mailing address:
  • Phone: 206-676-2011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60498747
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberNU60300928
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: