Provider Demographics
NPI:1316371511
Name:HOWARD, SARALEE ROBERTS (COUNSELOR)
Entity Type:Individual
Prefix:
First Name:SARALEE
Middle Name:ROBERTS
Last Name:HOWARD
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 N CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:MI
Mailing Address - Zip Code:48879-2503
Mailing Address - Country:US
Mailing Address - Phone:517-285-6819
Mailing Address - Fax:
Practice Address - Street 1:323 N CLINTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:MI
Practice Address - Zip Code:48879-2503
Practice Address - Country:US
Practice Address - Phone:517-285-6819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-25
Last Update Date:2013-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013747101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional