Provider Demographics
NPI:1972667525
Name:SABEL, KATHLEEN ANN (LMFT)
Entity type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:ANN
Last Name:SABEL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KATHIE
Other - Middle Name:ANN
Other - Last Name:SABEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:49 JASMINE CIRCLE
Mailing Address - Street 2:49 JASMINE CIRCLE
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461-1787
Mailing Address - Country:US
Mailing Address - Phone:203-521-9694
Mailing Address - Fax:
Practice Address - Street 1:49 JASMINE CIRCLE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-1787
Practice Address - Country:US
Practice Address - Phone:203-521-9694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001000106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0040399533Medicaid