Individual
MR. ROGER KENNETH SANDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
2911 OLNEY SANDY SPRING RD STE A, OLNEY, MD 20832-3506
(301) 452-2743
Mailing address
PO BOX 5205, LAYTONSVILLE, MD 20882-0205
(301) 452-2743
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC1046
MD
101YP2500X
Professional Counselor
Primary
LC1046
MD
106H00000X
Marriage & Family Therapist
MFC29326
CA
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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