Provider Demographics
NPI:1447609227
Name:SACCENTI, STEPHEN (LCPC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:SACCENTI
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 HOUNDSLOW CT
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-5906
Mailing Address - Country:US
Mailing Address - Phone:410-459-6224
Mailing Address - Fax:
Practice Address - Street 1:4 NORTH AVE
Practice Address - Street 2:SUITE #306
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2314
Practice Address - Country:US
Practice Address - Phone:410-420-7292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC6371101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional