Organization
AMY SANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SANDERSON LPCA, NCC (COUNSELOR)
(248) 396-8810
Entity
Organization
Contact information
Practice address
401 DEER BRUSH LN, WAXHAW, NC 28173-6307
(248) 396-8810
Mailing address
401 DEER BRUSH LN, WAXHAW, NC 28173-6307
(248) 396-8810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
A11665
NC
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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