Individual
COLTE DAVIS SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Contact information
Practice address
482 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
(812) 333-8474
Mailing address
482 S LANDMARK AVE, BLOOMINGTON, IN 47403-5000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001645A
IN
1041C0700X
Clinical Social Worker
Primary
34008845A
IN
Other
Enumeration date
07/08/2021
Last updated
09/11/2025
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