Individual
WILLIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
501 7TH ST N STE 1, COLUMBUS, MS 39701-4683
(662) 425-1176
Mailing address
501 7TH ST N STE 1, COLUMBUS, MS 39701-4683
(662) 425-1176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1367
MS
Other
Enumeration date
06/13/2008
Last updated
07/21/2022
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