MEDICARE: SARAH ELIZABETH BIXLER MA, CSAC, LADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	13912-132	WI
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	NONE ASSIGNED	MN
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	302071	MN

General Provider Information

NPI Number	:	1518181452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH BIXLER MA, CSAC, LADC

Provider Business Mailing Address
First Line	:	1521 PENN AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-3051
Country	:	US
Telephone Number	:	218-248-0704
Fax Number	:

Provider Business Practice Location Address
First Line	:	1137 GRAND AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105
Country	:	US
Telephone Number	:	612-719-4137
Fax Number	:	651-340-3620

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	11/07/2019

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