Individual
SARAH LONGENECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHC
Contact information
Practice address
11958 W MILL RD APT 11, MILWAUKEE, WI 53225-1058
(812) 457-4773
Mailing address
11958 W MILL RD APT 11, MILWAUKEE, WI 53225-1058
(812) 457-4773
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
N430070
—
174H00000X
Health Educator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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