Individual
SHITARA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 HIGHWAY 51, SUITE C, LAPLACE, LA 70068
(985) 651-0020
Mailing address
141 E 31ST ST, RESERVE, LA 70084-5001
(504) 390-3373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011792856
LA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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