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Individual
MARK L SENSBAUGH
Active
Individual
MARK L SENSBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0717000106
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11690042
CACH PROVIDER ID
—
01
—
300878
ANTHEM BLUE CROSS AND BLU
—
Enumeration date
01/22/2007
Last updated
07/10/2007
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