Provider Demographics
NPI:1740645175
Name:SAKL, REBECCA ANGELA (LMFT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANGELA
Last Name:SAKL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 ISLAND TRAIL
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:CT
Mailing Address - Zip Code:06763
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:65 ISLAND TRAIL
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:CT
Practice Address - Zip Code:06763
Practice Address - Country:US
Practice Address - Phone:860-480-5067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001713106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist