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Individual
STEVEN C SANDEN
Active
Individual
STEVEN C SANDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I, CRM, PWS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12-09-43
OR
101YM0800X
Mental Health Counselor
19-QMHA-I-00760
OR
175T00000X
Peer Specialist
11-CRM-070
OR
175T00000X
Peer Specialist
THW000001281
OR
Other
Enumeration date
11/09/2018
Last updated
04/16/2019
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