MEDICARE: SARA M STENERSEN LMFT

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	106H00000X	Marriage & Family Therapist	MG60962028	WA
2	106H00000X	Marriage & Family Therapist	LF61209043	WA

General Provider Information

NPI Number	:	1164999587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA M STENERSEN LMFT

Provider Business Mailing Address
First Line	:	1115 17TH AVE APT 302
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98122-4613
Country	:	US
Telephone Number	:	509-496-5453
Fax Number	:

Provider Business Practice Location Address
First Line	:	2913 E MADISON ST STE 200
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4213
Country	:	US
Telephone Number	:	541-250-0059
Fax Number	:

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

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	01/21/2022

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Directions to “ SARA M STENERSEN LMFT” Practice Location

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