Provider Demographics
NPI:1588001879
Name:AEGERTER, SANDRINE ANNE (LMHC, LPC)
Entity type:Individual
Prefix:MS
First Name:SANDRINE
Middle Name:ANNE
Last Name:AEGERTER
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:MS
Other - First Name:SANDRINE
Other - Middle Name:ANNE
Other - Last Name:AEGERTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:15804 E BRITTLEBUSH LN
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-3183
Mailing Address - Country:US
Mailing Address - Phone:617-935-2245
Mailing Address - Fax:
Practice Address - Street 1:15804 E BRITTLEBUSH LN
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILLS
Practice Address - State:AZ
Practice Address - Zip Code:85268-3183
Practice Address - Country:US
Practice Address - Phone:617-935-2245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9883101YM0800X
AZ18597101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health