Provider Demographics
NPI:1164195889
Name:SHONTS, SARAH J (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:SHONTS
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E5310 732ND AVE
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-7201
Mailing Address - Country:US
Mailing Address - Phone:719-331-7812
Mailing Address - Fax:
Practice Address - Street 1:215 N 2ND ST STE 109
Practice Address - Street 2:
Practice Address - City:RIVER FALLS
Practice Address - State:WI
Practice Address - Zip Code:54022-3707
Practice Address - Country:US
Practice Address - Phone:715-629-7047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI796-228106H00000X
WI2087-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist