Provider Demographics
NPI:1295006229
Name:JANIUK, SARA BETH (MS, LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:BETH
Last Name:JANIUK
Suffix:
Gender:F
Credentials:MS, LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 E WASHINGTON ST
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:WEST BEND
Mailing Address - State:WI
Mailing Address - Zip Code:53095-2585
Mailing Address - Country:US
Mailing Address - Phone:262-365-6563
Mailing Address - Fax:262-365-6559
Practice Address - Street 1:333 E WASHINGTON ST
Practice Address - Street 2:SUITE 2200
Practice Address - City:WEST BEND
Practice Address - State:WI
Practice Address - Zip Code:53095-2585
Practice Address - Country:US
Practice Address - Phone:262-365-6563
Practice Address - Fax:262-365-6559
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI15826-132101YA0400X
WI5242-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)