Provider Demographics
NPI:1518625482
Name:HAASE, SARA CATHERINE
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:CATHERINE
Last Name:HAASE
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 1:2100 MANCHESTER RD STE 1618
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4788
Mailing Address - Country:US
Mailing Address - Phone:630-923-8049
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER RD STE 1618
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4788
Practice Address - Country:US
Practice Address - Phone:630-923-8049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor