Healthcare Provider Details

I. General information

NPI: 1003783739
Provider Name (Legal Business Name): MRS. SARAH MAGNANT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH KETCHUM M.S

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E MARKET ST
HARRISONBURG VA
22801-4226
US

IV. Provider business mailing address

3061 PATRIOT CT
BROADWAY VA
22815-3337
US

V. Phone/Fax

Practice location:
  • Phone: 240-457-0991
  • Fax:
Mailing address:
  • Phone: 240-457-0991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701015162
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701015162
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: