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SARA OSBORNE LPC, LADC

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1588215982

Individual Registrant:
 SARA  OSBORNE LPC, LADC
Gender: F
Sole Proprietor

Location and contact information for practice:
164 WYKEHAM ROAD  WASHINGTON, CT 06793 US
Tel: 860-480-4403  Fax: --

Contact information for business:
164 WYKEHAM ROAD  WASHINGTON, CT 06793 US
Tel: 860-480-4403  Fax: --

Registration Information:
NPI: 1588215982
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CT1337
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
CT3777

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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