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NPI Code Detail

MEDICARE: MS. KATHRYN R SASSER LPCC

MEDICARE:  MS. KATHRYN R SASSER  LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorE0007466OH

General Provider Information

NPI Number : 1083629729
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN R SASSER LPCC
Provider Business Mailing Address
First Line : 4030 BLENDON GROVE WAY
Second Line :
City : GAHANNA
State : OH
Zip : 43230-9852
Country : US
Telephone Number : 614-478-0609
Fax Number :
Provider Business Practice Location Address
First Line : 824 BOWTOWN RD
Second Line :
City : DELAWARE
State : OH
Zip : 43015-9661
Country : US
Telephone Number : 740-833-2313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2006
Last Update Date : 07/08/2007

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Directions to “ MS. KATHRYN R SASSER LPCC” Practice Location

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