Provider Demographics
NPI:1851018907
Name:SAGANDA, MADONNA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MADONNA
Middle Name:
Last Name:SAGANDA
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 1ST ST
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-3401
Mailing Address - Country:US
Mailing Address - Phone:551-200-1507
Mailing Address - Fax:
Practice Address - Street 1:807 1ST ST
Practice Address - Street 2:
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094-3401
Practice Address - Country:US
Practice Address - Phone:551-200-1507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional