Doctor Name: | MS. ANASTASIA ELIZABETH SARBACH |
NPI Number: | 1063604411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | LPC-389 |
Business Practice Address: | 1032 E 1st St Casper, WY - 826012758 |
Business Phone Number: | 3072342704 |
Business Fax Number: | 3072342745 |
Mailing Address: | 1032 E 1st St, CASPER |
State: | WY |
Postal Code: | 826012758 |
Phone Number: | 3072342704 |
Fax Number: | 3072342745 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-389 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |