Provider Demographics
NPI:1275303463
Name:STORJOHANN, SARAH MARGARET (LCMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MARGARET
Last Name:STORJOHANN
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARGARET
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4628 MAIN ST S
Mailing Address - Street 2:
Mailing Address - City:NEWBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05051-9712
Mailing Address - Country:US
Mailing Address - Phone:802-222-3000
Mailing Address - Fax:
Practice Address - Street 1:720 VILLAGE RD
Practice Address - Street 2:
Practice Address - City:EAST CORINTH
Practice Address - State:VT
Practice Address - Zip Code:05040
Practice Address - Country:US
Practice Address - Phone:802-439-5321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health