Individual
MRS. SARAH AUDIGIER COTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
60949 SNOWBRUSH DR, BEND, OR 97702
(541) 385-6436
Mailing address
1293 NW WALL ST, #1382, BEND, OR 97701-1936
(541) 385-6436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FAMILY SKILLS COACH
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R46228
DHS STATE OF OR
OR
Enumeration date
10/04/2006
Last updated
07/08/2007
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