Healthcare Provider Details

I. General information

NPI: 1972664878
Provider Name (Legal Business Name): SARAH JANE NORTON MA LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

495 JOHN FOWLER RD
PLAINFIELD VT
05667-9307
US

IV. Provider business mailing address

495 JOHN FOWLER RD
PLAINFIELD VT
05667-9307
US

V. Phone/Fax

Practice location:
  • Phone: 802-454-8550
  • Fax:
Mailing address:
  • Phone: 802-454-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0680000618
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: