Provider Demographics
NPI:1477920049
Name:MAURER, SARAH B (LPC, CCDP-D)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:B
Last Name:MAURER
Suffix:
Gender:F
Credentials:LPC, CCDP-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 WOODSTONE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-6872
Mailing Address - Country:US
Mailing Address - Phone:618-444-9602
Mailing Address - Fax:
Practice Address - Street 1:1480 WOODSTONE DR STE 110
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-6872
Practice Address - Country:US
Practice Address - Phone:618-444-9602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-30
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009006807101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor