Healthcare Provider Details

I. General information

NPI: 1184506750
Provider Name (Legal Business Name): SARAH FICHTNER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 MAPLE AVE
RED BANK NJ
07701-1761
US

IV. Provider business mailing address

48 NEWELL AVE
WEST CREEK NJ
08092-9608
US

V. Phone/Fax

Practice location:
  • Phone: 347-815-0699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC00465600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: