Individual
MICHELLE MARIE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC
Contact information
Practice address
804 W 9TH ST N, SUITE B, LADYSMITH, WI 54848-1267
(715) 532-9771
(715) 532-9774
Mailing address
804 W 9TH ST N, SUITE B, LADYSMITH, WI 54848-1267
(715) 532-9771
(715) 532-9774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16214-130
WI
101YM0800X
Mental Health Counselor
Primary
5103-125
WI
Other
Enumeration date
04/29/2011
Last updated
06/14/2013
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