Provider Demographics
NPI:1790449098
Name:REEVES-METZ, SARA KRISTIN (LPC)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:KRISTIN
Last Name:REEVES-METZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-2705
Mailing Address - Country:US
Mailing Address - Phone:608-849-5430
Mailing Address - Fax:
Practice Address - Street 1:110 BAKER ST
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-2705
Practice Address - Country:US
Practice Address - Phone:608-849-5430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-24
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI942-226101YP2500X
WI8519101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional