Provider Demographics
NPI:1932177227
Name:SAJOR, KATHY S (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:S
Last Name:SAJOR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 TRAFALGAR DR
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-1340
Mailing Address - Country:US
Mailing Address - Phone:518-563-0815
Mailing Address - Fax:
Practice Address - Street 1:206 US OVAL
Practice Address - Street 2:SUITE 207
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12903-3994
Practice Address - Country:US
Practice Address - Phone:518-335-8491
Practice Address - Fax:518-324-4802
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000115101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health