Doctor Name: | MS. DEQUETTA SANDERS |
NPI Number: | 1336425362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC,LCDC,NCC,CCMHC |
License Number: | 66783 |
Business Practice Address: | 301andrews Avenue Fort Rucker, AL - 363625333 |
Business Phone Number: | 3342557028 |
Business Fax Number: | |
Mailing Address: | 301 Andrews Ave, FORT RUCKER |
State: | AL |
Postal Code: | 363625333 |
Phone Number: | 3342557028 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2011 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 66783 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |