Provider Demographics
NPI:1316222508
Name:WEGRZYN, SARA A (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:A
Last Name:WEGRZYN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 MONROE ST
Mailing Address - Street 2:BLDG A - SUITE 201
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2775
Mailing Address - Country:US
Mailing Address - Phone:419-885-1910
Mailing Address - Fax:419-885-5060
Practice Address - Street 1:5600 MONROE ST
Practice Address - Street 2:BLDG A - SUITE 201
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-2775
Practice Address - Country:US
Practice Address - Phone:419-885-1910
Practice Address - Fax:419-885-5060
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC0900495101YM0800X
OHE.0900495101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health