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NPI Code Detail

MEDICARE: SARAH A DOLL LPCC

MEDICARE: SARAH A DOLL LPCC
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
1101YP2500XProfessional CounselorCC00247MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14796OTHERMALMHC
2CC00247OTHERMNLPCC

General Provider Information

NPI Number : 1538367966
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH A DOLL LPCC
Provider Business Mailing Address
First Line : 101 W BURNSVILLE PKWY STE 207
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-0010
Country : US
Telephone Number : 612-642-1308
Fax Number : 952-686-6966
Provider Business Practice Location Address
First Line : 101 W BURNSVILLE PKWY STE 207
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-0010
Country : US
Telephone Number : 612-642-1308
Fax Number : 952-686-6966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 11/10/2025

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Directions to “ SARAH A DOLL LPCC” Practice Location

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