Provider Demographics
NPI:1821501412
Name:LECOMPTE, SAWYER JAMES (MS)
Entity Type:Individual
Prefix:MR
First Name:SAWYER
Middle Name:JAMES
Last Name:LECOMPTE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:379 BREEZY HILL ACRES
Mailing Address - Street 2:
Mailing Address - City:NORTH FERRISBURGH
Mailing Address - State:VT
Mailing Address - Zip Code:05473-9608
Mailing Address - Country:US
Mailing Address - Phone:802-989-2671
Mailing Address - Fax:
Practice Address - Street 1:8031 WILLISTON RD
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-6200
Practice Address - Country:US
Practice Address - Phone:802-989-2671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097-0114019101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health