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NPI Code Detail

MEDICARE: DANIELLE SAKACH MA, LCPC, NCC

MEDICARE:   DANIELLE  SAKACH  MA, LCPC, NCC
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 Counselor180.015369IL

General Provider Information

NPI Number : 1760077598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE SAKACH MA, LCPC, NCC
Provider Business Mailing Address
First Line : 2116 S LINCOLN AVE
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62704-4328
Country : US
Telephone Number : 217-761-4419
Fax Number :
Provider Business Practice Location Address
First Line : 3001 SPRING MILL DR
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62704-6566
Country : US
Telephone Number : 217-761-4419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2021
Last Update Date : 10/08/2025

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