Provider Demographics
NPI:1225620248
Name:ESCOBAR-BUTEAU, SARAH (LCMHC, MLADC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ESCOBAR-BUTEAU
Suffix:
Gender:F
Credentials:LCMHC, MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 COUNTRY CLUB RD UNIT 705
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-6977
Mailing Address - Country:US
Mailing Address - Phone:603-524-8005
Mailing Address - Fax:
Practice Address - Street 1:25 COUNTRY CLUB RD UNIT 705
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6977
Practice Address - Country:US
Practice Address - Phone:603-524-8005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2487101YM0800X
NH1235101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)