Doctor Name: | SARA ANNE BIGELOW |
NPI Number: | 1902925712 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LPC-3425 |
Business Practice Address: | 353 N. 4th Street Suite 110 Pocatello, ID - 83201 |
Business Phone Number: | 2082337832 |
Business Fax Number: | 2082337835 |
Mailing Address: | 353 N. 4th Street, Suite 110 POCATELLO |
State: | ID |
Postal Code: | 83201 |
Phone Number: | 2082337832 |
Fax Number: | 2082337835 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 11/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-3425 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |