Provider Demographics
NPI:1508452210
Name:SANDERS, STEVE (CDCA)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:SANDERS
Suffix:
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6995 WOODLANDS LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4664
Mailing Address - Country:US
Mailing Address - Phone:216-315-6588
Mailing Address - Fax:
Practice Address - Street 1:6995 WOODLANDS LN
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-4664
Practice Address - Country:US
Practice Address - Phone:216-315-6588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH174789101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor