Individual
MARY SANDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC-A, LCAS-A
Contact information
Practice address
126 MAIN ST, WARRENTON, NC 27589
(919) 428-4546
Mailing address
822 BLUESTONE RD, DURHAM, NC 27713-1902
(919) 616-0913
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
NCC #321096
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-20659
NC
101YM0800X
Mental Health Counselor
A10776
NC
101YP2500X
Professional Counselor
Primary
A10776
NC
Other
Enumeration date
08/19/2014
Last updated
12/01/2016
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