Provider Demographics
NPI:1467991711
Name:JASTRZEBSKI, SARA (MA, LCMHC, CCTP, NCC)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:JASTRZEBSKI
Suffix:
Gender:F
Credentials:MA, LCMHC, CCTP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 RESERVE PL
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7922
Mailing Address - Country:US
Mailing Address - Phone:860-836-5845
Mailing Address - Fax:603-600-7800
Practice Address - Street 1:1037-1045 ELM STREET
Practice Address - Street 2:2ND, 3RD, 5TH & 6TH FLOORS
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101
Practice Address - Country:US
Practice Address - Phone:978-226-3514
Practice Address - Fax:603-600-7800
Is Sole Proprietor?:No
Enumeration Date:2017-02-20
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health