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NPI Code Detail

MEDICARE: SARAH WILLIFORD

MEDICARE:   SARAH  WILLIFORD
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 Counselor2020004854MO
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1790312528
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH WILLIFORD
Provider Business Mailing Address
First Line : 1085 TERRACE DR
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1332
Country : US
Telephone Number : 314-789-0161
Fax Number :
Provider Business Practice Location Address
First Line : 1085 TERRACE DR
Second Line :
City : RICHMOND HEIGHTS
State : MO
Zip : 63117-1332
Country : US
Telephone Number : 314-789-0161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 10/02/2024

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Directions to “ SARAH WILLIFORD ” Practice Location

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