Individual
JEFFREY S SANDERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1020 RIVERWOOD CT, CONROE, TX 77305
(936) 521-6100
(936) 760-2898
Mailing address
PO BOX 3067, CONROE, TX 77305
(936) 521-6100
(936) 760-2898
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16320
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84845L
BCBS OF TX
TX
Enumeration date
05/17/2006
Last updated
07/08/2007
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