Individual
SAYBER VAN DE SANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
167 HIGH HEAD RD, EAST MACHIAS, ME 04630
(207) 259-6022
Mailing address
167 HIGH HEAD RD, EAST MACHIAS, ME 04630-3851
(207) 259-6022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5497
ME
101YM0800X
Mental Health Counselor
Primary
CC4973
ME
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144626037
—
ME
Enumeration date
11/05/2014
Last updated
06/25/2018
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