Deshaw, Sara Elizabeth

Deshaw, Sara Elizabeth is an individual health care provider with primary practice located at 1901 Dutton Dr Suite E, San Marcos TX 78666-7573. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Deshaw, Sara Elizabeth can be contacted via phone (512) 396-7695.

Contact Information

Primary practice address
1901 Dutton Dr Suite E San Marcos TX 78666-7573
Phone: (512) 396-7695
Fax: (512) 396-7633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 67965 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 12149 Texas

Profile Details

NPI number 1437599669
LBN Legal business name Deshaw, Sara Elizabeth
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2013
Last updated Jul 2nd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437599669 NPPES
Texas MEDICAID 065337001

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