Provider Demographics
NPI:1760131684
Name:SANDERS, LASHONDA JEANETTE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:LASHONDA
Middle Name:JEANETTE
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CONCORD DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-1328
Mailing Address - Country:US
Mailing Address - Phone:618-540-1354
Mailing Address - Fax:
Practice Address - Street 1:1815 BOONES LICK RD
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2247
Practice Address - Country:US
Practice Address - Phone:636-946-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017030304101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health