Provider Demographics
NPI:1578850780
Name:SAWYER, KATHERINE L (LCPC-C, LADC, CCS)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:L
Last Name:SAWYER
Suffix:
Gender:F
Credentials:LCPC-C, LADC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DELTA DR STE A
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4745
Mailing Address - Country:US
Mailing Address - Phone:207-856-7227
Mailing Address - Fax:207-856-2112
Practice Address - Street 1:1 DELTA DR STE A
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4745
Practice Address - Country:US
Practice Address - Phone:207-856-7227
Practice Address - Fax:207-856-2112
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC4474101YA0400X
MEXL3630101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health