Doctor Name: | MR. GEORGE J SAKASH |
NPI Number: | 1679621742 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICDC, LPC |
License Number: | C-1862 |
Business Practice Address: | 102 S Sandusky Ave Upper Sandusky, OH - 433511424 |
Business Phone Number: | 4192941212 |
Business Fax Number: | 4192946336 |
Mailing Address: | 102 S Sandusky Ave, UPPER SANDUSKY |
State: | OH |
Postal Code: | 433511424 |
Phone Number: | 4192941212 |
Fax Number: | 4192946336 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C-1862 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |