Provider Demographics
NPI:1053616920
Name:SAGER, JAMES L (LPCC-S)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:SAGER
Suffix:
Gender:M
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 FAIRWAY DR NE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-5640
Mailing Address - Country:US
Mailing Address - Phone:330-372-1265
Mailing Address - Fax:
Practice Address - Street 1:3915 E MARKET ST
Practice Address - Street 2:GREENTREE COUNSELING, BLDG 4
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-4710
Practice Address - Country:US
Practice Address - Phone:330-372-2200
Practice Address - Fax:330-372-2600
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0001382101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health