Provider Demographics
NPI:1144516683
Name:DEAN, SARAH D (MA, LPC, NCC,PC)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:D
Last Name:DEAN
Suffix:
Gender:F
Credentials:MA, LPC, NCC,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 CHARLESTON ST
Mailing Address - Street 2:
Mailing Address - City:CADIZ
Mailing Address - State:OH
Mailing Address - Zip Code:43907-1272
Mailing Address - Country:US
Mailing Address - Phone:740-509-0079
Mailing Address - Fax:
Practice Address - Street 1:324 7TH AND LAFAYETTE STREET
Practice Address - Street 2:
Practice Address - City:MOUNDSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26041
Practice Address - Country:US
Practice Address - Phone:304-218-0895
Practice Address - Fax:740-968-7173
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2007101Y00000X
OHC0700218101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor