Doctor Name: | CYNTHIA SUSANNE SANDERS |
NPI Number: | 1285867630 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4695 |
Business Practice Address: | 50 Chestnut St Elberton, GA - 306351806 |
Business Phone Number: | 7062132048 |
Business Fax Number: | |
Mailing Address: | 50 Chestnut St, ELBERTON |
State: | GA |
Postal Code: | 306351806 |
Phone Number: | 7062132048 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2009 |
NPI Last Update Date: | 03/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4695 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |