Individual
MARK SASICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
340 NW 5TH ST, BOX 1710, REDMOND, OR 97756-1869
(541) 883-2795
(541) 504-1195
Mailing address
2555 MAIN ST, KLAMATH FALLS, OR 97601-2723
(541) 883-2795
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07-06-45
OR
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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