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Individual

MRS. BUDDY D. SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
119 DAVIS ROAD, SUITE 1- B, MARTINEZ, GA 30907-0200
(706) 869-0071
(706) 869-0063
Mailing address
P. O. BOX 212401, MARTINEZ, GA 30917-2401
(706) 869-0071
(706) 869-0063

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
06040351
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP1600X
Pastoral Counselor
171M00000X
Case Manager/Care Coordinator
GA
171W00000X
Contractor
TG-BFTS-9712
GA
174400000X
Specialist
PD--BFTS-9965
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
520070811A
GA
Enumeration date
03/02/2006
Last updated
05/27/2009
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