Individual
EZEKIEL N SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
384 SE COMBS FLAT RD STE 1200, PRINEVILLE, OR 97754-2562
(541) 447-6263
(541) 447-8724
Mailing address
384 SE COMBS FLAT RD, PRINEVILLE, OR 97754-2562
(541) 447-6263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
103TC0700X
Clinical Psychologist
Primary
3132
OR
Other
Enumeration date
11/15/2012
Last updated
02/08/2024
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