MEDICARE: SARAH FESSER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2242-226	WI

General Provider Information

NPI Number	:	1669876868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH FESSER LPC

Provider Business Mailing Address
First Line	:	N86W18534 ELDER LN
Second Line	:
City	:	MENOMONEE FALLS
State	:	WI
Zip	:	53051-1802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12630 W NORTH AVE BLDG E
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53005-4626
Country	:	US
Telephone Number	:	262-785-1008
Fax Number	:	262-432-9059

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2014
Last Update Date	:	03/05/2026

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