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NPI Code Detail

MEDICARE: SARAH HAASE THERAPY, LICENSED PROFESSIONAL CLINICAL COUNSELOR

MEDICARE: SARAH HAASE THERAPY, LICENSED PROFESSIONAL CLINICAL COUNSELOR
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1942166475
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARAH HAASE THERAPY, LICENSED PROFESSIONAL CLINICAL COUNSELOR
Provider Business Mailing Address
First Line : 1968 S COAST HWY # 1293
Second Line :
City : LAGUNA BEACH
State : CA
Zip : 92651-3681
Country : US
Telephone Number : 657-205-6154
Fax Number :
Provider Business Practice Location Address
First Line : 19712 MACARTHUR BLVD STE 110
Second Line :
City : IRVINE
State : CA
Zip : 92612-2407
Country : US
Telephone Number : 657-205-6154
Fax Number :
Authorized Official
Title or Position : CEO
Name : SARAH JANE HAASE
Credential : LPCC
Telephone Number : 657-205-6154
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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