Provider Demographics
NPI:1851901706
Name:CLODE, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:CLODE
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 1:15922 E WABASH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1530
Mailing Address - Country:US
Mailing Address - Phone:941-284-8571
Mailing Address - Fax:
Practice Address - Street 1:15922 E WABASH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1530
Practice Address - Country:US
Practice Address - Phone:941-284-8571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61396470101YM0800X
FLMH18628101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health