Sarah Gillen, MA

Individual provider Active NPI Marriage & Family Therapist · Montpelier, VT

NPI 1902010267 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902010267
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
100-0000011 (VT)
Practice address
174 Elm St
Montpelier, VT 05602-2262
Phone
(802) 229-4815
Fax
(802) 229-4811
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 18048CAMDMarriage & Family Therapist
100-0000011VTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100-0000011 VT Yes
Marriage & Family Therapist 106H00000X MFC 18048 CA

Addresses

Primary practice location

174 Elm St
Montpelier, VT 05602-2262

Mailing address

174 Elm St
Montpelier, VT 05602-2262
Phone (802) 229-4815

Other providers in Montpelier, VT

All providers in Montpelier, VT · Marriage & Family Therapist in Vermont

Sources for this page

Verify at the official NPI Registry.