Provider Demographics
NPI:1689724122
Name:HEBERT, SARAH (LPC, LADAC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HEBERT
Suffix:
Gender:F
Credentials:LPC, LADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 CANDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06074-2610
Mailing Address - Country:US
Mailing Address - Phone:860-930-7287
Mailing Address - Fax:
Practice Address - Street 1:41 CANDLEWOOD DR
Practice Address - Street 2:
Practice Address - City:SOUTH WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06074-2610
Practice Address - Country:US
Practice Address - Phone:860-930-7287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001576101YP2500X
CT000754101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)