JUSTIN KARL SACCO - NPI 1508483405 - Peer Specialist in Medford, OR

Q: What is Justin Sacco's NPI number?

The NPI number for Justin Sacco is 1508483405. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Q: What is Justin Sacco's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Sacco was last updated on June 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Justin Karl Sacco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN KARL SACCO (NPI 1508483405) is an individual peer specialist in Medford, Oregon and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1508483405

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJUSTIN KARL SACCO

Location Address140 S HOLLY STMedford, OR 97501-3113

Mailing Address43 W Hersey StAshland, OR 97520-1158 · (541) 879-9246

Phone(541) 734-3902

Sole ProprietorNo

Enumeration DateJune 26, 2020

NPPES CertifiedJune 26, 2020

✔ NPI 1508483405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

140 S HOLLY ST, Medford, OR 97501

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER HARPER

Case Manager/Care Coordinator