MEDICARE: MS. KATHY S. SAJOR LMHC

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	000115	NY

General Provider Information

NPI Number	:	1932177227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHY S. SAJOR LMHC

Provider Business Mailing Address
First Line	:	41 TRAFALGAR DR
Second Line	:
City	:	PLATTSBURGH
State	:	NY
Zip	:	12901-1340
Country	:	US
Telephone Number	:	518-563-0815
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 US OVAL
Second Line	:	SUITE 207
City	:	PLATTSBURGH
State	:	NY
Zip	:	12903-3994
Country	:	US
Telephone Number	:	518-335-8491
Fax Number	:	518-324-4802

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	07/08/2007

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