Organization
SACKS CLINICAL CONSULTING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON SACKS PHD (OWNER)
(219) 210-0111
Entity
Organization
Contact information
Practice address
107 WOODLAND CT, STE B, MICHIGAN CITY, IN 46360-7392
(219) 628-6463
(219) 809-0200
Mailing address
107 WOODLAND CT, STE B, MICHIGAN CITY, IN 46360-7392
(219) 628-6463
(219) 809-0200
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20041854A
IN
Other
Enumeration date
02/16/2011
Last updated
02/22/2011
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