Provider Demographics
NPI:1306384243
Name:BREHM, SARAH REBECCA (LGPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:REBECCA
Last Name:BREHM
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 W LOMBARD ST
Mailing Address - Street 2:GEORGE GRAY HALL, 1ST FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-1603
Mailing Address - Country:US
Mailing Address - Phone:410-706-4869
Mailing Address - Fax:410-706-3017
Practice Address - Street 1:520 W LOMBARD ST
Practice Address - Street 2:GEORGE GRAY HALL, 1ST FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1603
Practice Address - Country:US
Practice Address - Phone:410-706-4869
Practice Address - Fax:410-706-3017
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP7312101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional