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Provider Information for 1376833541


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Ms. KEISHA M SAUNDERS LPC


Other Names:  
Other Name: 
Mrs. KEISHA M WALDRON LPC

Sex: Female

NPI: 1376833541
Last Updated: 2014-07-30
Certification Date:

Details

NameValue
NPI1376833541
Enumeration Date2011-04-08
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2211 W MEADOWVIEW RD
SUITE 114
GREENSBORO, NC 27407-3409
United States

Phone: 336-451-9258 | Fax:
 
Primary Practice Address 2211 W MEADOWVIEW RD
SUITE 114
GREENSBORO, NC 27407-3409
United States

Phone: 336-451-9258 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalNC8721
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)
No 101YM0800X - Counselor - Mental Health
No 101Y00000X - Counselor
No 106H00000X - Marriage & Family Therapist
No 101YP2500X - Counselor - Professional