Provider Demographics
NPI:1497971600
Name:WUOBIO, SANDRA LEIGH (MA LPC, CAADC)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LEIGH
Last Name:WUOBIO
Suffix:
Gender:F
Credentials:MA LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3190 HALLMARK CT.
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603
Mailing Address - Country:US
Mailing Address - Phone:989-790-3366
Mailing Address - Fax:989-790-9151
Practice Address - Street 1:3190 HALLMARK CT.
Practice Address - Street 2:SUITE 100
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603
Practice Address - Country:US
Practice Address - Phone:989-790-3366
Practice Address - Fax:989-790-9151
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010015101YM0800X
MI730038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N80300Medicare UPIN