Doctor Name: | MR. COBIE DALE SADLER |
NPI Number: | 1023322872 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, MHSP |
License Number: | 6420177 |
Business Practice Address: | 116 Longview Dr White House, TN - 371889163 |
Business Phone Number: | 6152850095 |
Business Fax Number: | 7408791847 |
Mailing Address: | 209 Foster Dr, WHITE HOUSE |
State: | TN |
Postal Code: | 371884066 |
Phone Number: | 6152850095 |
Fax Number: | 7408791847 |
NPI Enumeration Date: | 08/04/2010 |
NPI Last Update Date: | 08/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6420177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |