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ANTHONY SANDERS
School >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1073750881
Individual Registrant: ANTHONY SANDERS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
9355 OPAL AVE MENTONE, CA 92359-9605 US
Tel: 909-705-5998 Fax: 909-389-9431
Tel: 909-705-5998 Fax: 909-389-9431
Contact information for business:
12013 HUNTLEY DR RANCHO CUCAMONGA, CA 91739-2543 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1073750881
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YS0200X | Behavioral Health & Social Service Providers Counselor School |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
