MEDICARE: MARK SABO 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
1	101YP2500X	Professional Counselor	188914	AK

General Provider Information

NPI Number	:	1649671835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK SABO LPC

Provider Business Mailing Address
First Line	:	1450 MULDOON RD STE 111
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-2873
Country	:	US
Telephone Number	:	907-762-8668
Fax Number	:	907-375-3177

Provider Business Practice Location Address
First Line	:	1450 MULDOON RD STE 111
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-2873
Country	:	US
Telephone Number	:	907-762-8668
Fax Number	:	907-375-3177

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2014
Last Update Date	:	05/21/2024

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Directions to “ MARK SABO LPC” Practice Location

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