Individual
CASSONDRA E. SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT I
Contact information
Practice address
29970 TECHNOLOGY DR STE E123, MURRIETA, CA 92563
(951) 900-4414
Mailing address
3359 CHICAGO AVE, RIVERSIDE, CA 92507-6820
(951) 900-4414
(951) 880-0817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7184
MEDI-CAL
CA
01
—
7368
MEDI-CAL
CA
01
—
7667
MEDI-CAL
CA
01
—
7708
MEDI-CAL
CA
Enumeration date
03/05/2012
Last updated
07/23/2018
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