Individual
EDWARD SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3931 BRIDGEWOOD RD, MIDLOTHIAN, VA 23112-2900
(804) 277-1597
Mailing address
3931 BRIDGEWOOD RD, MIDLOTHIAN, VA 23112-2900
(804) 277-1597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/25/2025
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