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MRS. BUDDY D. SANDERS M.A.

Addiction Substance Use Disorder

Martinez, Georgia

Provider NPI: 1467429126

Provider Information:
MRS. BUDDY D. SANDERS M.A.
Gender: F
Not Sole Proprietor

Practice Location:
119 DAVIS ROAD SUITE 1- B MARTINEZ, GA 30907 US
Tel: 706-869-0071  Fax: 706-869-0063

Business Mailing Address:
P. O. BOX 212401  MARTINEZ, GA 30917 US
Tel: 706-869-0071  Fax: 706-869-0063

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
GA06040351
N101YA0400XBehavioral Health & Social Service Providers
Counselor
N101YP1600XBehavioral Health & Social Service Providers
Counselor
N171W00000XOther Service Providers
Contractor
GATG-BFTS-9712
N174400000XOther Service Providers
Specialist
GAPD--BFTS-9965
N171M00000XOther Service Providers
Case Manager/Care Coordinator
GA

Other Provider Identifiers:

IssuerNumberStateType
520070811AGA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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