Provider Demographics
NPI:1891162046
Name:BRITTON, SARAH J (LPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:BRITTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:J
Other - Last Name:GAVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11219 N FARMDALE RD
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53097-2901
Mailing Address - Country:US
Mailing Address - Phone:920-889-5370
Mailing Address - Fax:
Practice Address - Street 1:7861 STATE ROAD 60
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-9305
Practice Address - Country:US
Practice Address - Phone:262-546-1050
Practice Address - Fax:262-546-1051
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6800-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100048028Medicaid