Provider Information for 1306135322
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SARAH MOCCO M.S., LCPC, CADC,NCC
Sex: Female
NPI: 1306135322
Last Updated: 2017-05-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1306135322 | ||||||||||||
| Enumeration Date | 2011-03-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1237 BERKSHIRE LN GRAYSLAKE, IL 60030-4204 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 2900 N MAIN ST BUFFALO GROVE, IL 60089-2717 United States Phone: 847-634-6422 | Fax: | ||||||||||||
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