| Doctor Name: | ANITA K SANDERS |
| NPI Number: | 1164753323 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC, BHP |
| License Number: | 48 |
| Business Practice Address: | 212 Se 1st Pryor, OK - 74361 |
| Business Phone Number: | 9188254115 |
| Business Fax Number: | |
| Mailing Address: | Po Box 912, PRYOR |
| State: | OK |
| Postal Code: | 743620912 |
| Phone Number: | 9188254115 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2010 |
| NPI Last Update Date: | 01/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 48 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |