Provider Demographics
NPI:1659880342
Name:GUERCIA, SARAH E (MA, ATR-BC, LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:GUERCIA
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 DURHAM RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-1046
Mailing Address - Country:US
Mailing Address - Phone:860-575-4500
Mailing Address - Fax:
Practice Address - Street 1:75 CARTER DR
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2125
Practice Address - Country:US
Practice Address - Phone:860-575-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003237101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional