Individual
MR. PAUL N SACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
3525 RESOURCE DRIVE ROOM C47, RANDALLSTOWN, MD 21133
(410) 655-7655
(410) 655-3941
Mailing address
10400 RIDGELAND ROAD STE 1, COCKEYSVILLE, MD 21030
(410) 628-6120
(410) 628-9825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA044
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60876302
CAREFIRST MD
—
01
—
RS830027
CAREFIRST GHMSI
—
Enumeration date
10/02/2006
Last updated
07/08/2007
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