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NPI Code Detail

MEDICARE: STEFANIE RENEE SANDERS LPCC-S

MEDICARE: STEFANIE RENEE SANDERS LPCC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.1000086OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689951683
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE RENEE SANDERS LPCC-S
Provider Business Mailing Address
First Line : PO BOX 108
Second Line :
City : IRONTON
State : OH
Zip : 45638-0108
Country : US
Telephone Number : 740-532-1613
Fax Number : 740-532-1715
Provider Business Practice Location Address
First Line : 700 PARK AVE
Second Line :
City : IRONTON
State : OH
Zip : 45638-1502
Country : US
Telephone Number : 740-532-1613
Fax Number : 174-053-2171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2011
Last Update Date : 05/13/2019

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Directions to “ STEFANIE RENEE SANDERS LPCC-S” Practice Location

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