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NPI Code Detail

MEDICARE: SARAH SIDMAN LPC, LCADC

MEDICARE: SARAH SIDMAN LPC, LCADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor37LC00332700NJ
2101YM0800XMental Health Counselor37PC00899900NJ

General Provider Information

NPI Number : 1811517030
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH SIDMAN LPC, LCADC
Provider Business Mailing Address
First Line : 1103 SHEPPARD RD
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-4797
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1103 SHEPPARD RD
Second Line :
City : VOORHEES
State : NJ
Zip : 08043-4797
Country : US
Telephone Number : 856-625-6550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2020
Last Update Date : 06/08/2026

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Directions to “ SARAH SIDMAN LPC, LCADC” Practice Location

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