Provider Demographics
NPI:1649493917
Name:JORDAN, SARA (LPC)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:
Last Name:JORDAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:JORDAN
Other - Last Name:SKOWRONSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4801 TOCORA LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-1222
Mailing Address - Country:US
Mailing Address - Phone:608-370-9063
Mailing Address - Fax:
Practice Address - Street 1:414 DONOFRIO DR STE 330
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-2846
Practice Address - Country:US
Practice Address - Phone:608-284-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5338-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional