Provider Demographics
NPI:1235257338
Name:SANDERS, HIROMI PAUL (MFT)
Entity Type:Individual
Prefix:MR
First Name:HIROMI
Middle Name:PAUL
Last Name:SANDERS
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6051 DUBLIN WAY
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-6512
Mailing Address - Country:US
Mailing Address - Phone:916-727-4461
Mailing Address - Fax:
Practice Address - Street 1:11716 ENTERPRISE DRIVE
Practice Address - Street 2:PLACER COUNTY CSOC
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603
Practice Address - Country:US
Practice Address - Phone:530-886-2811
Practice Address - Fax:530-889-6735
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34587106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist