Individual
DENISE LEWIS SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 N AURORA ST STE 7, STOCKTON, CA 95202-2276
(209) 888-4519
Mailing address
620 N AURORA ST STE 7, STOCKTON, CA 95202-2276
(209) 888-4519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
167G00000X
Licensed Psychiatric Technician
Primary
—
CA
Other
Enumeration date
11/20/2023
Last updated
01/08/2024
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