Provider Demographics
NPI:1649013426
Name:SAUEY, KATELYN GRACE (LPCC)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:GRACE
Last Name:SAUEY
Suffix:
Gender:X
Credentials:LPCC
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:PENDLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1118 NEWPORT LN
Mailing Address - Street 2:
Mailing Address - City:HOLMEN
Mailing Address - State:WI
Mailing Address - Zip Code:54636-8830
Mailing Address - Country:US
Mailing Address - Phone:608-606-2542
Mailing Address - Fax:833-542-0529
Practice Address - Street 1:105 STATE ROAD 16
Practice Address - Street 2:
Practice Address - City:RUSHFORD
Practice Address - State:MN
Practice Address - Zip Code:55971-8832
Practice Address - Country:US
Practice Address - Phone:507-905-0658
Practice Address - Fax:833-542-0529
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC04447101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health