| Sakoon Psychotherapy Pllc | |
|
6512 N Canton Center Rd Canton MI 48187-1652 | |
| (734) 451-0600 | |
| (734) 451-0603 |
| Full Name | Sakoon Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6512 N Canton Center Rd, Canton, Michigan |
| Authorized Official Name and Position | Mariam F Saparamadu (OWNER) |
| Authorized Official Contact | 7344510600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sakoon Psychotherapy Pllc 6512 N Canton Center Rd Canton MI 48187-1652 Ph: (734) 451-0600 | Sakoon Psychotherapy Pllc 6512 N Canton Center Rd Canton MI 48187-1652 Ph: (734) 451-0600 |
| NPI Number | 1265056394 |
|---|---|
| Provider Enumeration Date | 06/04/2020 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265056394 | NPI | - | NPPES |
| PENDING | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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