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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
  Certification Date: 

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
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 101YP2500X - Counselor Professional AL 3130