| Doctor Name: | CRYSTAL SANDERS |
| NPI Number: | 1164851697 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 002425 |
| Business Practice Address: | 352 State St North Haven, CT - 064733108 |
| Business Phone Number: | 2037814600 |
| Business Fax Number: | 2037814624 |
| Mailing Address: | 1 Long Wharf Dr, Ste. 321 NEW HAVEN |
| State: | CT |
| Postal Code: | 065115991 |
| Phone Number: | 2037814600 |
| Fax Number: | 2037814624 |
| NPI Enumeration Date: | 11/05/2013 |
| NPI Last Update Date: | 06/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 002425 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |