Individual
MICHELLE AUDREY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
5689 S REDWOOD RD, SUITE 27, TAYLORSVILLE, UT 84123-5447
(801) 266-2485
(866) 644-9206
Mailing address
1592 SPAULDING LN, POCATELLO, ID 83201-2852
(608) 217-5089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7825382-6004
PROFESSIONAL LICENSE
UT
Enumeration date
07/06/2009
Last updated
02/04/2020
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