Provider Demographics
NPI:1407230055
Name:SAUER, JAMIE (MA, LLPC, DP-C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:SAUER
Suffix:
Gender:F
Credentials:MA, LLPC, DP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8212 N JENNINGS RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:MI
Mailing Address - Zip Code:48458-8248
Mailing Address - Country:US
Mailing Address - Phone:810-687-5100
Mailing Address - Fax:
Practice Address - Street 1:8212 N JENNINGS RD
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458-8248
Practice Address - Country:US
Practice Address - Phone:810-687-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014942101YP2500X
MI101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional