Individual
SARA F ANICETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC SAC-IT NCC
Contact information
Practice address
160 S MACY ST, FOND DU LAC, WI 54935-4241
(920) 929-3917
Mailing address
160 S MACY ST, FOND DU LAC, WI 54935-4241
(920) 929-3917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
10122-125
WI
Other
Enumeration date
01/20/2020
Last updated
02/28/2023
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