Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LAC-121 | CO |
N | 101YM0800X | Mental Health Counselor | LPC 3514 | CO |
N | 101YP1600X | Pastoral Counselor |
NPI | 1124153135 |
---|---|
Provider Name | James Dale Saunders |
First Address | Colorado Springs, CO 80903-3635 |
Second Address | Colorado Springs, CO 80903-3635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 22/02/2008 |