Provider Demographics
NPI:1477741957
Name:RADULESCU, SARAH JANE (MA, LPC-S)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JANE
Last Name:RADULESCU
Suffix:
Gender:F
Credentials:MA, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 PINE TREE RD, RM U2
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75606-4000
Mailing Address - Country:US
Mailing Address - Phone:903-746-4805
Mailing Address - Fax:903-753-7833
Practice Address - Street 1:501 PINE TREE RD, RM U2
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75606-4000
Practice Address - Country:US
Practice Address - Phone:903-746-4805
Practice Address - Fax:903-753-7833
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61799101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188080902Medicaid