Individual
SARAH MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
Mailing address
1717 TAYLOR AVE, RACINE, WI 53403-2405
(262) 638-6744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18677-130
WI
101YP2500X
Professional Counselor
Primary
7759-125
WI
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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