MEDICARE: SARAH ELIZABETH HARRISON

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	101YP2500X	Professional Counselor	61504435	WA

General Provider Information

NPI Number	:	1235971102
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH HARRISON

Provider Business Mailing Address
First Line	:	2603 W LIBERTY AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99205-2351
Country	:	US
Telephone Number	:	253-278-0353
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 E 9TH AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-2437
Country	:	US
Telephone Number	:	253-278-0353
Fax Number	:

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

Provider Enumeration Date	:	06/11/2024
Last Update Date	:	08/13/2025

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