Doctor Name: | SARAH OLIVIA STORIE |
NPI Number: | 1518369164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 001600 |
Business Practice Address: | 1003 Cottonwood Rd Creston, IA - 508011012 |
Business Phone Number: | 6417828457 |
Business Fax Number: | 6417827048 |
Mailing Address: | 1003 Cottonwood Rd, CRESTON |
State: | IA |
Postal Code: | 508011012 |
Phone Number: | 6417828457 |
Fax Number: | 6417827048 |
NPI Enumeration Date: | 09/25/2014 |
NPI Last Update Date: | 09/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 001600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |