Provider Demographics
NPI:1386022077
Name:ESSWEIN, SARAH CHRISTINE (PLPC)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:CHRISTINE
Last Name:ESSWEIN
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:CHRISTINE
Other - Last Name:GOTHOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15063 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-7045
Mailing Address - Country:US
Mailing Address - Phone:314-485-9528
Mailing Address - Fax:
Practice Address - Street 1:15063 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-7045
Practice Address - Country:US
Practice Address - Phone:314-485-9528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014003533101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional