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Individual

DR. CHARLES JEFFREY SANDOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
530 US HIGHWAY 41 BYP S, SUITE 4A, VENICE, FL 34285-4750
(941) 244-9510
(941) 244-9511
Mailing address
21007 BACHMANN BLVD, PORT CHARLOTTE, FL 33954-3061
(941) 244-9510
(941) 244-9511

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4614
FL
101YM0800X
Mental Health Counselor
Primary
9693
FL
101YP2500X
Professional Counselor
1946
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4614
CAP
FL
Enumeration date
12/06/2008
Last updated
07/20/2009
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