Individual
SARA WOLLABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 PARK PL, SCHOHARIE, NY 12157-5211
(518) 295-2031
(518) 295-8724
Mailing address
328 MINERAL SPRINGS RD APT 3, COBLESKILL, NY 12043-5629
(518) 590-6494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02249145
—
NY
Enumeration date
07/06/2016
Last updated
02/03/2017
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