Individual
MRS. SARAH PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
257 SW MADISON AVE STE 230, CORVALLIS, OR 97333-4924
(541) 712-8652
Mailing address
3360 JACKSON ST SE APT A, ALBANY, OR 97322-4698
(206) 478-1182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
L11152
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11152
OREGON STATE BOARD OF LICENSED SOCIAL WORKERS
OR
Enumeration date
03/29/2019
Last updated
09/10/2025
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