Individual
DR. JESSE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2242 S HAMILTON RD STE 208, COLUMBUS, OH 43232-4300
(614) 695-5115
(614) 695-5300
Mailing address
2242 S HAMILTON RD STE 208, COLUMBUS, OH 43232-4300
(614) 695-5115
(614) 695-5300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
463081342
OH
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720434145
NPI
OH
Enumeration date
05/05/2016
Last updated
06/06/2023
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