Organization
GREEN MOUNTAIN PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAGE L WILLIS PHD (PSYCHOLOGIST)
(360) 812-1505
Entity
Organization
Contact information
Practice address
2003 D ST STE 100, BELLINGHAM, WA 98225-3204
(360) 935-0860
Mailing address
2003 D ST STE 100, BELLINGHAM, WA 98225-3204
(360) 935-0860
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
03/26/2025
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