Provider Demographics
NPI:1881391647
Name:PRANGER, SARAH ANN (MS, LLMFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ANN
Last Name:PRANGER
Suffix:
Gender:F
Credentials:MS, LLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 478
Mailing Address - Street 2:
Mailing Address - City:KALKASKA
Mailing Address - State:MI
Mailing Address - Zip Code:49646-0478
Mailing Address - Country:US
Mailing Address - Phone:231-499-8066
Mailing Address - Fax:
Practice Address - Street 1:10740 OLD US HIGHWAY 27 S
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735
Practice Address - Country:US
Practice Address - Phone:231-499-8066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4151001090101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health