Organization
SANDSTONE BRIDGE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINDY J NICHOLSON LCAC, LCMFT (OWNER)
(785) 823-7400
Entity
Organization
Contact information
Practice address
134 S SANTA FE AVE, SUITE 130, SALINA, KS 67401-2877
(785) 823-7400
(785) 823-7400
Mailing address
134 S SANTA FE AVE, SUITE 130, SALINA, KS 67401-2877
(785) 823-7400
(785) 823-7400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
403
KS
106H00000X
Marriage & Family Therapist
Primary
854
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200630800A
—
KS
Enumeration date
02/14/2011
Last updated
07/12/2016
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