Individual
MRS. CHRISTIAN AUGUSTINE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW, LADAC
Contact information
Practice address
691 E EMPIRE ST, CORTEZ, CO 81321-2802
(970) 565-7946
Mailing address
PO BOX 1346, MANCOS, CO 81328-1346
(970) 570-9933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0125511
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
99-07-18
OR
104100000X
Social Worker
13004
AZ
1041C0700X
Clinical Social Worker
Primary
CSW.09923921
CO
Other
Enumeration date
11/03/2009
Last updated
03/17/2018
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