Individual
DAVID TALOR SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC-S
Contact information
Practice address
700 PARK AVE, IRONTON, OH 45638-1502
(740) 532-1613
(740) 532-1715
Mailing address
2837 S 3RD ST, IRONTON, OH 45638-2852
(740) 302-5594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.0900459-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217612
—
OH
Enumeration date
03/16/2016
Last updated
03/06/2019
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