Individual
CLARENCE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
79 ALEXANDER AVE STE 32A, BRONX, NY 10454-4475
(646) 924-5985
Mailing address
300 BATTLE AVE APT 2, WHITE PLAINS, NY 10606-1520
(646) 924-5985
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19041
NY
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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