Individual provider · Type 1 NPI
Stacy Bernard Sanders, PhD, LAC
Addiction (Substance Use Disorder) Counselor · Ruston, LA
NPI number
1053784728
Active
Practice location
206 E Reynolds Dr Ste G2
Ruston, LA 71270-2873
Fax (318) 259-4571
Mailing address
898 Brooks Chapel Rd
Quitman, LA 71268-4670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LAC-5154 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053784728
Stacy Bernard Sanders, PhD, LAC's National Provider Identifier is 1053784728, issued on Nov 3, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ruston, LA. The record was last updated on Feb 26, 2024.