Individual
SARAH POTTER CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 GOLF TER STE 207, EAU CLAIRE, WI 54701-4688
(715) 514-0493
(877) 855-2504
Mailing address
4330 GOLF TER STE 207, EAU CLAIRE, WI 54701-4688
(715) 514-0493
(877) 855-2504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10631-125
WI
101YP2500X
Professional Counselor
Primary
10631-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191002
—
WI
05
—
1104585959
—
WI
Enumeration date
12/09/2021
Last updated
11/23/2024
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