Provider Demographics
NPI:1023170958
Name:FUERST, SARAH (MA, LP)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:FUERST
Suffix:
Gender:F
Credentials:MA, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 KINGSTON AVE E
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-4928
Mailing Address - Country:US
Mailing Address - Phone:651-773-6517
Mailing Address - Fax:651-773-6517
Practice Address - Street 1:710 COMMERCE DR
Practice Address - Street 2:SUITE 215
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4919
Practice Address - Country:US
Practice Address - Phone:651-592-1759
Practice Address - Fax:651-735-7844
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2010-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN00399101YP2500X
MNLP5261103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional