Organization
INTERVENTION INSTITUTE
Active
Other names
Laurie A. Sanders, M.S.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE A. SANDERS LMFT, CADCII-CCS,CAS (EXECUTIVE AND CLINICAL DIRECTOR)
(805) 375-9100
Entity
Organization
Contact information
Practice address
1125 BUSINESS CENTER CIR, SUITE B, THOUSAND OAKS, CA 91320-1184
(805) 375-9100
(805) 375-9920
Mailing address
1125 BUSINESS CENTER CIR, SUITE B, THOUSAND OAKS, CA 91320-1184
(805) 375-9100
(805) 375-9920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
560027AP CERTIFICATI
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
560027AP
OUT-PT AAOD SVCS CERTIFIC
CA
Enumeration date
03/23/2007
Last updated
09/24/2008
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