Individual
AMANDA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2403 MAIN DR, FAYETTEVILLE, AR 72704-5223
(479) 967-2322
(479) 967-2876
Mailing address
PO BOX 2109, RUSSELLVILLE, AR 72811-2109
(479) 967-2322
(479) 967-2876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2105020
AR
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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