Individual
JEFFREY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
820 PINE AVE SE, WARREN, OH 44483-6524
(330) 393-0598
(330) 393-0700
Mailing address
820 PINE AVE SE, WARREN, OH 44483-6524
(330) 393-0598
(330) 393-0700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E0008367
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803312
—
OH
Enumeration date
06/19/2014
Last updated
06/19/2014
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