Doctor Name: | SARAH BRASSLETT |
NPI Number: | 1548504111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC-C |
License Number: | XL4061 |
Business Practice Address: | 32 College Ave Suite 206 Waterville, ME - 04901 |
Business Phone Number: | 2076802065 |
Business Fax Number: | 2076802068 |
Mailing Address: | 157 Park St., Suite 5 BANGOR |
State: | ME |
Postal Code: | 04401 |
Phone Number: | 2079920410 |
Fax Number: | 2079920414 |
NPI Enumeration Date: | 11/20/2012 |
NPI Last Update Date: | 11/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | XL4061 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |