Provider Demographics
NPI:1013407998
Name:SCHNEIDER, SARAH FRANCIS (CRC, LPC-IT)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:FRANCIS
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:CRC, LPC-IT
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:FRANCIS
Other - Last Name:SLICKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRC, LPC-IT
Mailing Address - Street 1:450 CROSSROAD CT
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-1189
Mailing Address - Country:US
Mailing Address - Phone:414-350-3267
Mailing Address - Fax:
Practice Address - Street 1:1990 WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-2601
Practice Address - Country:US
Practice Address - Phone:262-421-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI00233968225C00000X
WI3695-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor