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Provider Information for 1629444963



JOHNNIE SANDERS FFT, ECC, NBCC, LPC

Gender: FEMALE

Individual NPI: 1629444963

Calendar Last Updated: 2015-08-20

Details

Name Value
NPI 1629444963
Enumeration Date 2015-08-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4143 ATLANTA HWY
MONTGOMERY, AL 36109-3022
United States

Phone: 334-271-4503 | Fax: 334-271-3215
View Map External Link
Primary Practice Address 4143 ATLANTA HWY
MONTGOMERY, AL 36109-3022
United States

Phone: 334-271-4503 | Fax: 334-271-3215
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 101YP2500X - Counselor Professional AL 3130
Other Identifiers
Issuer State Number