Individual
MS. MARTHA ANN SANDERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
VA PUGET SOUND HCS, AMERICAN LAKE VA, BLDG. 61C, TACOMA, WA 98493-0001
(253) 582-8440
(253) 589-4136
Mailing address
1443 THOMPSON CIR, DUPONT, WA 98327-9722
(253) 582-8440
(253) 589-4136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NOT LICENSED
—
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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