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Organization
SANDY COUNSELING CENTER LLP
Active
Organization
SANDY COUNSELING CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALTON RICHARDSON ROUNDY MA, CADC III (CLINICAL DIRECTOR)
(503) 826-8500
Entity
Organization
Contact information
Practice address
39084 PROCTOR BLVD, SUITE E, SANDY, OR 97055-8064
(503) 826-8500
(413) 215-5103
Mailing address
39084 PROCTOR BLVD, SUITE E, SANDY, OR 97055-8064
(503) 826-8500
(413) 215-5103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
96-10-67
OR
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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