Provider Demographics
NPI:1548455702
Name:CAUSE, SANDRA L (LMHC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:L
Last Name:CAUSE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 SPENCER RD APT 26G
Mailing Address - Street 2:
Mailing Address - City:BOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01719-1303
Mailing Address - Country:US
Mailing Address - Phone:978-264-0771
Mailing Address - Fax:
Practice Address - Street 1:41 SPENCER RD APT 26G
Practice Address - Street 2:
Practice Address - City:BOXBORO
Practice Address - State:MA
Practice Address - Zip Code:01719-1303
Practice Address - Country:US
Practice Address - Phone:978-264-0771
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA612101YM0800X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator