Provider Demographics
NPI:1356001028
Name:POOR, SARAH (LCPC-C)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:POOR
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 CAPTAIN CUSHMAN RD
Mailing Address - Street 2:
Mailing Address - City:MORRILL
Mailing Address - State:ME
Mailing Address - Zip Code:04952-5035
Mailing Address - Country:US
Mailing Address - Phone:207-513-2311
Mailing Address - Fax:
Practice Address - Street 1:67 CAPTAIN CUSHMAN RD
Practice Address - Street 2:
Practice Address - City:MORRILL
Practice Address - State:ME
Practice Address - Zip Code:04952-5035
Practice Address - Country:US
Practice Address - Phone:207-513-2311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor