Healthcare Provider Details

I. General information

NPI: 1306725015
Provider Name (Legal Business Name): TIFFANY ANNE SANDERS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 PALMETTO AVE STE A
CHICO CA
95926-4065
US

IV. Provider business mailing address

669 PALMETTO AVE STE A
CHICO CA
95926-4065
US

V. Phone/Fax

Practice location:
  • Phone: 530-361-5303
  • Fax: 530-255-2152
Mailing address:
  • Phone: 530-361-5303
  • Fax: 530-255-2152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164205
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: