MEDICARE: SARAH A HULL MED, LMHC

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	171M00000X	Case Manager/Care Coordinator	CG60149868	WA
2	101Y00000X	Counselor	LH60680303	WA

General Provider Information

NPI Number	:	1073795159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH A HULL MED, LMHC

Provider Business Mailing Address
First Line	:	102 N 37TH AVE
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98902-2708
Country	:	US
Telephone Number	:	509-208-5672
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 W ORCHARD AVE
Second Line	:
City	:	SELAH
State	:	WA
Zip	:	98942-1329
Country	:	US
Telephone Number	:	509-208-5672
Fax Number	:

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

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	11/16/2024

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