Provider Demographics
NPI:1992145296
Name:HARRIS, SARAH F (BA, CASC I)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:F
Last Name:HARRIS
Suffix:
Gender:F
Credentials:BA, CASC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6215
Mailing Address - Country:US
Mailing Address - Phone:541-344-0031
Mailing Address - Fax:541-344-0772
Practice Address - Street 1:149 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6215
Practice Address - Country:US
Practice Address - Phone:541-344-0031
Practice Address - Fax:541-344-0772
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)