| Doctor Name: | SARA BETH LICHTERMAN |
| NPI Number: | 1174945349 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, NCC |
| License Number: | 4195-125 |
| Business Practice Address: | 101 Tower Rd Waupaca, WI - 549811659 |
| Business Phone Number: | 7152561136 |
| Business Fax Number: | |
| Mailing Address: | 216 W 8th Ave, OSHKOSH |
| State: | WI |
| Postal Code: | 549025926 |
| Phone Number: | 9202166349 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2014 |
| NPI Last Update Date: | 01/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4195-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |