Organization
SANDY COUNSELING CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALTON RICHARDSON ROUNDY MA, CADC III (CLINICAL DIRECTOR)
(503) 826-8500
Entity
Organization
Contact information
Practice address
39084 PROCTOR BLVD, SUITE E, SANDY, OR 97055-8064
(503) 826-8500
(413) 215-5103
Mailing address
39084 PROCTOR BLVD, SUITE E, SANDY, OR 97055-8064
(503) 826-8500
(413) 215-5103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
96-10-67
OR
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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