Individual
VICKI COLLETTE SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
2217 NICOLLET AVE, MINNEAPOLIS, MN 55404-3382
(612) 767-0300
Mailing address
2200 1ST AVE S, MINNEAPOLIS, MN 55404-3401
(612) 871-7567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
4516
MN
Other
Enumeration date
04/20/2022
Last updated
08/15/2024
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