Provider Demographics
NPI:1760197677
Name:SAGNIA, VALENCIA C
Entity Type:Individual
Prefix:
First Name:VALENCIA
Middle Name:C
Last Name:SAGNIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20541 ATTICA RD
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1327
Mailing Address - Country:US
Mailing Address - Phone:312-998-6373
Mailing Address - Fax:
Practice Address - Street 1:13305 S RIDGELAND AVE
Practice Address - Street 2:
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1808
Practice Address - Country:US
Practice Address - Phone:708-907-5149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health