Provider Demographics
NPI:1205130101
Name:SATHER, LINDSAY KJOLSING (LPC)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:KJOLSING
Last Name:SATHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 ENLOE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-4538
Mailing Address - Country:US
Mailing Address - Phone:715-377-0000
Mailing Address - Fax:715-377-0010
Practice Address - Street 1:2910 ENLOE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-4538
Practice Address - Country:US
Practice Address - Phone:715-377-0000
Practice Address - Fax:715-377-0010
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-06
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1006-226101YM0800X
WI4971-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health