Provider Demographics
NPI:1053837401
Name:SANGER, SACHA MARIE (LMHC)
Entity Type:Individual
Prefix:
First Name:SACHA
Middle Name:MARIE
Last Name:SANGER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-2731
Mailing Address - Country:US
Mailing Address - Phone:518-223-9439
Mailing Address - Fax:518-203-1314
Practice Address - Street 1:22 US OVAL STE 204
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12903-5902
Practice Address - Country:US
Practice Address - Phone:518-223-9439
Practice Address - Fax:518-203-1314
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009446101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health