Individual
CARLY SANDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
4160 MERRICK RD STE 5&7, MASSAPEQUA, NY 11758-6000
(516) 350-8978
Mailing address
33 ELLWOOD ST APT A, GLEN COVE, NY 11542-2430
(845) 239-6521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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