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NPI Code Detail

MEDICARE: SARAH WASIL MA, LPC

MEDICARE: SARAH WASIL MA, LPC
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
1101YP2500XProfessional Counselor6401012912MI

General Provider Information

NPI Number : 1013528827
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH WASIL MA, LPC
Provider Business Mailing Address
First Line : 13725 STARR COMMONWEALTH RD
Second Line :
City : ALBION
State : MI
Zip : 49224-9525
Country : US
Telephone Number : 269-420-7937
Fax Number :
Provider Business Practice Location Address
First Line : 13725 STARR COMMONWEALTH RD
Second Line :
City : ALBION
State : MI
Zip : 49224-9525
Country : US
Telephone Number : 269-420-7937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2020
Last Update Date : 08/14/2020

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