Provider Demographics
NPI:1699164772
Name:ZIEGLER, SARAH (MLADC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:MLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8576
Mailing Address - Street 2:
Mailing Address - City:PENACOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03303-8576
Mailing Address - Country:US
Mailing Address - Phone:603-556-1604
Mailing Address - Fax:603-415-0925
Practice Address - Street 1:30 S MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4809
Practice Address - Country:US
Practice Address - Phone:603-556-1604
Practice Address - Fax:603-415-0925
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-13
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0924101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)