Individual
JONATHAN D SANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 S MAIN ST, BREWER, ME 04412-2322
(207) 659-1577
Mailing address
511 WING RD, HERMON, ME 04401-0422
(207) 659-1577
(207) 992-2175
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC7793
ME
Other
Enumeration date
06/29/2016
Last updated
12/01/2025
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