Healthcare Provider Details

I. General information

NPI: 1528428455
Provider Name (Legal Business Name): SARAH KULIG LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2016
Last Update Date: 12/12/2024
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 HILL CT
CANAAN NH
03741-7222
US

IV. Provider business mailing address

39 HILL CT
CANAAN NH
03741-7222
US

V. Phone/Fax

Practice location:
  • Phone: 603-704-5913
  • Fax: 603-255-3878
Mailing address:
  • Phone: 603-704-5913
  • Fax: 603-255-3878

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2844
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068-0096448
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: