TIMOTHY PATRICK SANDERSON

PRESCOTT, AZ
NPI1780209577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: AZ  15345)
Enumeration Date2020-06-08
Last Update Date2020-07-01
Business Address
MR. TIMOTHY PATRICK SANDERSON MS, LASAC
702 W HILLSIDE AVE
PRESCOTT, AZ 86301-1913
Phone number: 928-778-5907
Mailing Address
MR. TIMOTHY PATRICK SANDERSON MS, LASAC
702 W HILLSIDE AVE
PRESCOTT, AZ 86301-1913
Phone number:
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