Doctor Name: | MS. SARAH DOROTHY OSBORNE |
NPI Number: | 1174949655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C., L.A.D.C. |
License Number: | 1045 |
Business Practice Address: | 78 Valley Dr New Milford, CT - 067763650 |
Business Phone Number: | 2039473764 |
Business Fax Number: | |
Mailing Address: | 78 Valley Dr, NEW MILFORD |
State: | CT |
Postal Code: | 067763650 |
Phone Number: | 2039473764 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2014 |
NPI Last Update Date: | 03/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1045 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |