Provider Demographics
NPI:1942543228
Name:WALGREN, SARAH GRACE (LIMHP, LMFT, CPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:GRACE
Last Name:WALGREN
Suffix:
Gender:F
Credentials:LIMHP, LMFT, CPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:GABREILRAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 W RAILWAY ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-3177
Mailing Address - Country:US
Mailing Address - Phone:308-635-2800
Mailing Address - Fax:308-633-2740
Practice Address - Street 1:115 W RAILWAY ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-3177
Practice Address - Country:US
Practice Address - Phone:308-635-2800
Practice Address - Fax:308-633-2740
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE188106H00000X
CA99188106H00000X
NE2041101YM0800X
NE2476101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional