Individual
MS. SHANNON DIANE SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3710 E 20TH AVE, ANCHORAGE, AK 99508-3418
(907) 312-9763
Mailing address
4532 REKA DR, ANCHORAGE, AK 99508-3641
(907) 315-8600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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