Provider Demographics
NPI:1598937286
Name:FOSS, SARAH (LPC, CSAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FOSS
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5410 HWY 10 E
Mailing Address - Street 2:SUITE B
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54482-1162
Mailing Address - Country:US
Mailing Address - Phone:715-345-9690
Mailing Address - Fax:715-344-8127
Practice Address - Street 1:5410 HWY 10 E
Practice Address - Street 2:SUITE B
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54482-1162
Practice Address - Country:US
Practice Address - Phone:715-345-9690
Practice Address - Fax:715-344-8127
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4539-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI15354-132OtherCSAC
WI4539-125OtherLPC
WI1598937286Medicaid