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Individual

STEPHANIE FRANCES SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC, AMFT

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16630
CA
106H00000X
Marriage & Family Therapist
114932
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114932
ASSOCIATE MARRIAGE AND FAMILY THERAPIST
CA
01
16630
LICENSED PROFESSIONAL CLINICAL COUNSELOR
CA
Enumeration date
01/07/2019
Last updated
09/05/2024
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