Provider Demographics
NPI:1689141509
Name:FETRAS, SARAH (LCMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:FETRAS
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1381
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-1381
Mailing Address - Country:US
Mailing Address - Phone:603-474-3332
Mailing Address - Fax:603-372-0822
Practice Address - Street 1:867 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4217
Practice Address - Country:US
Practice Address - Phone:603-474-3332
Practice Address - Fax:603-372-0822
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2051101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health