Doctor Name: | JOHN SACCO |
NPI Number: | 1164632873 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CADC |
License Number: | 101YA0400X |
Business Practice Address: | 361 Bird St Bridgeport, CT - 066052804 |
Business Phone Number: | 2033306000 |
Business Fax Number: | 2033306005 |
Mailing Address: | 361 Bird St, BRIDGEPORT |
State: | CT |
Postal Code: | 066052804 |
Phone Number: | 2033006000 |
Fax Number: | 2033306005 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 101YA0400X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |