Individual provider · Type 1 NPI

Stanley Ray Sanders, CASUDC

Addiction (Substance Use Disorder) Counselor · Taylorsville, UT

NPI number 1962042408 Active

Practice location

5983 S Redwood Rd
Taylorsville, UT 84123-5261

Fax (801) 293-3310

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11484886-6018 (UT)

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

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About NPI 1962042408

Stanley Ray Sanders, CASUDC's National Provider Identifier is 1962042408, issued on Jan 13, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Taylorsville, UT. The record was last updated on Jan 13, 2020.