Provider Demographics
NPI:1639285596
Name:SATO, MASAHIKO (EDD, LMFT, LPCC)
Entity Type:Individual
Prefix:
First Name:MASAHIKO
Middle Name:
Last Name:SATO
Suffix:
Gender:M
Credentials:EDD, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 1ST AVE NE STE 201A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-4311
Mailing Address - Country:US
Mailing Address - Phone:507-218-8228
Mailing Address - Fax:
Practice Address - Street 1:1500 1ST AVE NE STE 201A
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-4311
Practice Address - Country:US
Practice Address - Phone:507-218-8228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2021-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302753101YA0400X
MN1228101YM0800X
MN1254106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health