Provider Demographics
NPI:1487807285
Name:CERAR, SARA A B (LPC, CSAC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:A B
Last Name:CERAR
Suffix:
Gender:F
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 E OLIN AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53713-1482
Mailing Address - Country:US
Mailing Address - Phone:608-255-9119
Mailing Address - Fax:
Practice Address - Street 1:122 E OLIN AVE STE 220
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53713-1482
Practice Address - Country:US
Practice Address - Phone:608-255-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4516-125101YP2500X
WI15623-130101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)