Provider Demographics
NPI:1689622987
Name:SABO, ANNE L (LMFTQ)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:L
Last Name:SABO
Suffix:
Gender:F
Credentials:LMFTQ
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:L
Other - Last Name:BROWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:975 PEPPERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9331
Mailing Address - Country:US
Mailing Address - Phone:910-644-3905
Mailing Address - Fax:910-222-3195
Practice Address - Street 1:201 S MCPHERSON CHURCH RD
Practice Address - Street 2:SUITE 231
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4974
Practice Address - Country:US
Practice Address - Phone:910-485-0041
Practice Address - Fax:910-222-3195
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1363106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6105328Medicaid