Doctor Name: | MRS. SARAH FUERST |
NPI Number: | 1023170958 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LP |
License Number: | 00399 |
Business Practice Address: | 710 Commerce Dr Suite 215 Woodbury, MN - 551254919 |
Business Phone Number: | 6515921759 |
Business Fax Number: | 6517357844 |
Mailing Address: | 2307 Kingston Ave E, MAPLEWOOD |
State: | MN |
Postal Code: | 551094928 |
Phone Number: | 6517736517 |
Fax Number: | 6517736517 |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 12/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 00399 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |