Individual
SAMANTHA ALYSE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1611 W CENTRE AVE STE 201, PORTAGE, MI 49024-5393
(269) 281-4380
Mailing address
7652 YORKTOWN, RICHLAND, MI 49083-9458
(269) 967-8875
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101007277
MI
Other
Enumeration date
03/05/2019
Last updated
08/04/2022
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