Individual provider · Type 1 NPI
Timothy Patrick Sanderson, MS, LASAC
Addiction (Substance Use Disorder) Counselor · Prescott, AZ
NPI number
1780209577
Active
Practice location
702 W Hillside Ave
Prescott, AZ 86301-1913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 15345 (AZ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1780209577
Timothy Patrick Sanderson, MS, LASAC's National Provider Identifier is 1780209577, issued on Jun 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Prescott, AZ. The record was last updated on Jul 1, 2020.