MEDICARE: SARAH CAMILE KOMATSU MS, MHP, LMHCA

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	MC6149453	WA

General Provider Information

NPI Number	:	1023528106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH CAMILE KOMATSU MS, MHP, LMHCA

Provider Business Mailing Address
First Line	:	PO BOX 116
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-0016
Country	:	US
Telephone Number	:	360-809-0273
Fax Number	:

Provider Business Practice Location Address
First Line	:	2427 E RYAN DR
Second Line	:
City	:	PORT ANGELES
State	:	WA
Zip	:	98362-9031
Country	:	US
Telephone Number	:	360-209-8288
Fax Number	:

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

Provider Enumeration Date	:	10/03/2017
Last Update Date	:	04/28/2026

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