Provider Demographics
NPI:1275812455
Name:KUCHTA, SARAH E (LPC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:E
Last Name:KUCHTA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 BOSTON POST RD STE 8
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3236
Mailing Address - Country:US
Mailing Address - Phone:203-600-8900
Mailing Address - Fax:203-306-3003
Practice Address - Street 1:236 BOSTON POST RD STE 8
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3236
Practice Address - Country:US
Practice Address - Phone:203-600-8900
Practice Address - Fax:203-306-3003
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002087101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008039761Medicaid