Provider Demographics
NPI:1871574491
Name:SAUNDERS, PATRICIA ANN (CAC-I)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CAC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 WASHINGTON ST
Mailing Address - Street 2:PO 433
Mailing Address - City:STERLING
Mailing Address - State:MI
Mailing Address - Zip Code:48659-2503
Mailing Address - Country:US
Mailing Address - Phone:989-654-2996
Mailing Address - Fax:
Practice Address - Street 1:725 E STATE ST
Practice Address - Street 2:PO 740
Practice Address - City:STERLING
Practice Address - State:MI
Practice Address - Zip Code:48659-9548
Practice Address - Country:US
Practice Address - Phone:989-654-3501
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI06004101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)