Provider Demographics
NPI:1396093944
Name:DILLON, SARA CHRISTINE
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:CHRISTINE
Last Name:DILLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19712 50TH AVE W
Mailing Address - Street 2:APT 2
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6449
Mailing Address - Country:US
Mailing Address - Phone:860-573-0362
Mailing Address - Fax:
Practice Address - Street 1:800 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2473
Practice Address - Country:US
Practice Address - Phone:206-744-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-29
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health