Healthcare Provider Details

I. General information

NPI: 1780743534
Provider Name (Legal Business Name): GLADYS JUNE SASKA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 11/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 S MEDFORD DR
LUFKIN TX
75901-5633
US

IV. Provider business mailing address

4101 S MEDFORD DR
LUFKIN TX
75901-5633
US

V. Phone/Fax

Practice location:
  • Phone: 936-639-1141
  • Fax: 936-633-5695
Mailing address:
  • Phone: 936-639-1141
  • Fax: 936-633-5695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11383
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: