Individual
SARAH M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W231N1440 CORPORATE CT # 310, WAUKESHA, WI 53186-1303
(262) 896-6186
(262) 896-6139
Mailing address
W231N1440 CORPORATE CT # 310, WAUKESHA, WI 53186-1303
(262) 896-6186
(262) 896-6139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15720-130
WI
101YM0800X
Mental Health Counselor
Primary
4955
WI
101YP2500X
Professional Counselor
4955-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100028210
—
WI
Enumeration date
02/21/2009
Last updated
07/29/2024
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