Provider Demographics
NPI:1679770028
Name:OEMCKE, SARAH E (LCPC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:OEMCKE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:E
Other - Last Name:JULIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:STRATTON
Mailing Address - State:ME
Mailing Address - Zip Code:04982-0067
Mailing Address - Country:US
Mailing Address - Phone:203-232-9420
Mailing Address - Fax:
Practice Address - Street 1:144 HIGH ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-1946
Practice Address - Country:US
Practice Address - Phone:207-778-3556
Practice Address - Fax:207-778-3558
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCC3218101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional