| Doctor Name: | SADIE CARRICO |
| NPI Number: | 1043518533 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.P.C. |
| License Number: | 6401008814 |
| Business Practice Address: | 130 N Main St Adrian, MI - 492212745 |
| Business Phone Number: | 5174380045 |
| Business Fax Number: | |
| Mailing Address: | 1416 S Main St Ste 220, #112 ADRIAN |
| State: | MI |
| Postal Code: | 492214349 |
| Phone Number: | 5174380045 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2011 |
| NPI Last Update Date: | 03/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401008814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |