Healthcare Provider Details

I. General information

NPI: 1992537443
Provider Name (Legal Business Name): SARAH E KARLSSON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 CREST VIEW DR STE 220
HUDSON WI
54016-9517
US

IV. Provider business mailing address

W11391 754TH AVE
PRESCOTT WI
54021-7060
US

V. Phone/Fax

Practice location:
  • Phone: 715-386-2003
  • Fax: 715-386-2004
Mailing address:
  • Phone: 612-270-1765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2518-124
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: