MEDICARE: SARAH ELIZABETH KUMM LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C5424	OR

General Provider Information

NPI Number	:	1972141653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH ELIZABETH KUMM LPC

Provider Business Mailing Address
First Line	:	2040 VT ROUTE 7B CENTRAL
Second Line	:
City	:	N CLARENDON
State	:	VT
Zip	:	05759-3202
Country	:	US
Telephone Number	:	503-444-1746
Fax Number	:

Provider Business Practice Location Address
First Line	:	2040 VT ROUTE 7B CENTRAL
Second Line	:
City	:	N CLARENDON
State	:	VT
Zip	:	05759-3202
Country	:	US
Telephone Number	:	503-444-1746
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2019
Last Update Date	:	07/18/2024

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