Individual
SARAH A WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
345 W AUBURN RD, AUBURN, ME 04210-8552
(207) 576-7650
Mailing address
345 W AUBURN RD, AUBURN, ME 04210-8552
(207) 576-7650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0680000448
VT
101YP2500X
Professional Counselor
Primary
CC4881
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006716
—
VT
01
—
14Y0000892VT01
BLUE CROSS BLUE SHIELD
NH
01
—
48116
BLUE CROSS BLUE SHIELD
VT
Enumeration date
02/03/2007
Last updated
03/08/2019
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