Provider Demographics
NPI:1689033045
Name:WELNER, SARA (MS, LCGC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:WELNER
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:
Other - Last Name:MANDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:89 FRENCH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1935
Mailing Address - Country:US
Mailing Address - Phone:732-235-6350
Mailing Address - Fax:732-235-7088
Practice Address - Street 1:89 FRENCH ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1935
Practice Address - Country:US
Practice Address - Phone:732-235-6350
Practice Address - Fax:732-235-7088
Is Sole Proprietor?:No
Enumeration Date:2016-02-14
Last Update Date:2016-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MJ00004100101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor