MEDICARE: ELIZABETH SAGER 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
1	101YM0800X	Mental Health Counselor	E0001252	OH

General Provider Information

NPI Number	:	1780652776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SAGER LPCC

Provider Business Mailing Address
First Line	:	1168 NORTH RD NE
Second Line	:
City	:	WARREN
State	:	OH
Zip	:	44483-4521
Country	:	US
Telephone Number	:	330-372-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	ONE NORTH MAR CENTER LOWER LEVEL
Second Line	:	3843 EAST MARKET STREET
City	:	WARREN
State	:	OH
Zip	:	44484
Country	:	US
Telephone Number	:	330-372-2200
Fax Number	:	330-372-2600

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

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/08/2007

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