Individual
CAROLL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CAC II
Contact information
Practice address
5160 N UNION BLVD, COLORADO SPRINGS, CO 80918-2033
(719) 550-1011
(719) 550-1531
Mailing address
5160 N UNION BLVD, COLORADO SPRINGS, CO 80918-2033
(719) 550-1011
(719) 550-1531
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0007217
CO
101YM0800X
Mental Health Counselor
Primary
0011913
CO
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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