Provider Demographics
NPI:1548504111
Name:BRASSLETT, SARAH E (LCPC, LCMHC, LPC)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:E
Last Name:BRASSLETT
Suffix:
Gender:F
Credentials:LCPC, LCMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 3RD ST APT 5
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6165
Mailing Address - Country:US
Mailing Address - Phone:207-358-0766
Mailing Address - Fax:207-992-0414
Practice Address - Street 1:36 3RD ST APT 5
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6165
Practice Address - Country:US
Practice Address - Phone:207-358-0766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC4948101Y00000X, 101YM0800X
MEXL4061101Y00000X
NH2221101YM0800X
RIMHC01204101YM0800X
WI20504-875101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor