Provider Demographics
NPI:1972378701
Name:LIBROS, SARAH (MSED, LAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:LIBROS
Suffix:
Gender:F
Credentials:MSED, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 NEW FREEDOM RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3938
Mailing Address - Country:US
Mailing Address - Phone:215-439-0515
Mailing Address - Fax:
Practice Address - Street 1:4551 ROUTE 42
Practice Address - Street 2:
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-1751
Practice Address - Country:US
Practice Address - Phone:856-271-4490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health