Provider Demographics
NPI:1851926448
Name:SANDERS, JAMES BRIAN (LMFT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:BRIAN
Last Name:SANDERS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11564 S CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-2055
Mailing Address - Country:US
Mailing Address - Phone:562-607-0089
Mailing Address - Fax:
Practice Address - Street 1:77725 ENFIELD LN
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-0468
Practice Address - Country:US
Practice Address - Phone:562-607-0089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-04
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145062106H00000X
CA106321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA145062OtherBOARD OF BEHAVIORAL SCIENCE, LMFT