Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Patrick Sanderson, MS, LASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780209577

Mr. Timothy Patrick Sanderson, MS, LASAC is an Addiction (Substance Use Disorder) Counselor in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2020.

Licensed in
AZ
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

702 W Hillside Ave
Prescott, AZ 86301-1913
Phone: (928) 778-5907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 15345 (AZ)

Record details

NPI number1780209577
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LASAC
Sole proprietorNo
NPI enumeratedJune 8, 2020
Last updated in NPPESJuly 1, 2020
Certification dateJuly 1, 2020

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