Individual
MICHAEL LAURENCE SANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
239 W 9TH ST, UPLAND, CA 91786-5979
(909) 981-6121
Mailing address
239 W 9TH ST, UPLAND, CA 91786-5979
(909) 398-4383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1473340622
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
175T00000X
Peer Specialist
Primary
MPSS-IPQDHW
CA
Other
Enumeration date
05/18/2022
Last updated
06/25/2026
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