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NPI 1093282667

NPI 1093282667 : SARAH NAOMI SWEENEY NCMA, CAA : COUPEVILLE, WA

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General NPI Number Information
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    NPI Number           |    1093282667
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH NAOMI SWEENEY NCMA, CAA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/31/2018
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    Last Update Date     |    12/14/2025
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Provider Practice Location Address
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    Address Line         |    20 NW 1ST ST 
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    City                 |    COUPEVILLE
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    State                |    WA
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    Zip                  |    98239-3141
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    Country              |    US
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    Telephone            |    360-678-5555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    682 SW FAIRHAVEN DR 
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    City                 |    OAK HARBOR
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    State                |    WA
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    Zip                  |    98277-4533
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    Country              |    US
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    Telephone            |    564-676-1289
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    CG61492618
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    364SP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    364SP0808X
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    CG61492618
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    License Number State |    WA
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Taxonomy #4
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    CG61492618
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    License Number State |    WA
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