Individual
CASEY ANN SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC 1
Contact information
Practice address
32405 DIAGONAL RD, HERMISTON, OR 97838-7503
(541) 720-4679
(888) 977-2106
Mailing address
32405 DIAGONAL RD, HERMISTON, OR 97838-7503
(541) 720-4679
(888) 977-2106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-01-23
OR
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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