Provider Demographics
NPI:1104497007
Name:PETERSEN, SARAH MICHELLE (LCMHCA)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:MICHELLE
Last Name:PETERSEN
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:ROBERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:537 COLLEGE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2412
Mailing Address - Country:US
Mailing Address - Phone:828-457-8814
Mailing Address - Fax:
Practice Address - Street 1:537 COLLEGE ST STE 101
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2412
Practice Address - Country:US
Practice Address - Phone:828-457-8814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health