Individual
KENARD SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC
Contact information
Practice address
160 CLAIREMONT AVE, STE 200, DECATUR, GA 30030-2500
(678) 954-5814
Mailing address
1845 BRIGHTON BLVD SE, ATLANTA, GA 30316-6906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC003317
GA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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