Individual
DEON SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2915 CHILHOWEE DR, ATLANTA, GA 30331-9443
(678) 446-5445
Mailing address
3378 GREENBRIAR PKWY SW APT 9201, ATLANTA, GA 30331-0620
(678) 446-5445
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC012673
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC012673
GA
101YM0800X
Mental Health Counselor
Primary
LPC012673
GA
101YP2500X
Professional Counselor
APC005267
GA
343900000X
Non-emergency Medical Transport (VAN)
LPC012673
GA
Other
Enumeration date
10/27/2016
Last updated
01/25/2022
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