Provider Demographics
NPI:1124153135
Name:SAUNDERS, JAMES DALE (LPC, LAC, MAC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DALE
Last Name:SAUNDERS
Suffix:
Gender:M
Credentials:LPC, LAC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 E PIKES PEAK AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3635
Mailing Address - Country:US
Mailing Address - Phone:719-776-8487
Mailing Address - Fax:719-776-8726
Practice Address - Street 1:825 E PIKES PEAK AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3635
Practice Address - Country:US
Practice Address - Phone:719-776-8487
Practice Address - Fax:719-776-8726
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLAC-121101YA0400X
COLPC 3514101YM0800X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral