Provider Demographics
NPI:1699077305
Name:CAPOZZA, SABRINA ROSE (LMHC, NCC)
Entity type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:ROSE
Last Name:CAPOZZA
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5424 W GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-1422
Mailing Address - Country:US
Mailing Address - Phone:315-415-5977
Mailing Address - Fax:
Practice Address - Street 1:5424 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-1422
Practice Address - Country:US
Practice Address - Phone:315-415-5977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-01
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health