Individual
COURTNEY SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORTER
Contact information
Practice address
1400 US RT 22 NW, WASHINGTON COURT HOUSE, OH 43160-8604
(740) 463-1156
Mailing address
230 MOON RD, GREENFIELD, OH 45123-9306
(740) 463-1156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
190712
OH
175T00000X
Peer Specialist
APS.005381
OH
Other
Enumeration date
10/18/2024
Last updated
07/16/2025
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