| Doctor Name: | SARAH BODEAU |
| NPI Number: | 1033452719 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SAC, PC-IT |
| License Number: | 1719-226 |
| Business Practice Address: | 2661 County Highway I Chippewa Falls, WI - 547295407 |
| Business Phone Number: | 7157235585 |
| Business Fax Number: | 7157177504 |
| Mailing Address: | 1628 Valmont Ave, EAU CLAIRE |
| State: | WI |
| Postal Code: | 547014447 |
| Phone Number: | 7155770777 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2013 |
| NPI Last Update Date: | 01/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 1719-226 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |