Individual
SARAH JANE COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
830 N 109TH ST STE 3, WAUWATOSA, WI 53226-3754
(414) 865-1305
(262) 646-6284
Mailing address
2600 N MAYFAIR RD STE 305, MILWAUKEE, WI 53226-1303
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7161125
WI
Other
Enumeration date
11/06/2018
Last updated
07/07/2021
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