Provider Demographics
NPI:1972664878
Name:NORTON, SARAH JANE (MA LCMHC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:NORTON
Suffix:
Gender:F
Credentials:MA LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 JOHN FOWLER RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05667-9307
Mailing Address - Country:US
Mailing Address - Phone:802-454-8550
Mailing Address - Fax:
Practice Address - Street 1:495 JOHN FOWLER RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:VT
Practice Address - Zip Code:05667-9307
Practice Address - Country:US
Practice Address - Phone:802-454-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0680000618101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1010413Medicaid
VT59883OtherBLUE CROSS AND BLUE SHIEL