Provider Demographics
NPI:1467871871
Name:ADDAIR, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ADDAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20838 TIMBERLAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-7241
Mailing Address - Country:US
Mailing Address - Phone:434-473-7458
Mailing Address - Fax:434-382-0699
Practice Address - Street 1:20838 TIMBERLAKE RD STE B
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-7241
Practice Address - Country:US
Practice Address - Phone:434-473-7458
Practice Address - Fax:434-382-0699
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005798101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701005798OtherVIRGINIA BOARD OF COUNSELING