Provider Demographics
NPI:1881039261
Name:SANDERS, YOSHONNA N (LCSW)
Entity Type:Individual
Prefix:
First Name:YOSHONNA
Middle Name:N
Last Name:SANDERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 FELKER ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71302-3819
Mailing Address - Country:US
Mailing Address - Phone:318-792-0180
Mailing Address - Fax:
Practice Address - Street 1:40 BUD AUSTIN RD
Practice Address - Street 2:
Practice Address - City:FOREST HILL
Practice Address - State:LA
Practice Address - Zip Code:71430-4805
Practice Address - Country:US
Practice Address - Phone:318-308-3836
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA101811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical