Individual provider · Type 1 NPI

Mack Sanders Jr., LSW, LICDC - CS

Addiction (Substance Use Disorder) Counselor · Mansfield, OH

NPI number 1750709044 Active

Practice location

400 Bowman St
Mansfield, OH 44903-1235

Call (419) 525-3525 Map

Fax (419) 525-3538

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X954409 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1750709044

Mack Sanders Jr., LSW, LICDC - CS's National Provider Identifier is 1750709044, issued on Apr 3, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mansfield, OH. The record was last updated on Apr 3, 2014.