Provider Demographics
NPI:1952774937
Name:SAHN, ZOGONMIA N
Entity Type:Individual
Prefix:
First Name:ZOGONMIA
Middle Name:N
Last Name:SAHN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 GROVE ST
Mailing Address - Street 2:APT 246
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-2351
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:119 GROVE ST
Practice Address - Street 2:APT 246
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-2351
Practice Address - Country:US
Practice Address - Phone:508-297-3521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor