Provider Demographics
NPI:1932716479
Name:PAESLER, SARA LYNN BRISSE (LMFT)
Entity Type:Individual
Prefix:
First Name:SARA LYNN
Middle Name:BRISSE
Last Name:PAESLER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LYNN
Other - Last Name:BRISSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:134 4TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350
Mailing Address - Country:US
Mailing Address - Phone:320-405-6456
Mailing Address - Fax:320-234-1200
Practice Address - Street 1:134 4TH AVE NE
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350
Practice Address - Country:US
Practice Address - Phone:320-405-6456
Practice Address - Fax:320-234-1200
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3797106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist