| Doctor Name: | MS. SANDRA J. MADRUGA |
| NPI Number: | 1275554644 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. LMHC |
| License Number: | 1983 |
| Business Practice Address: | 24 Georgetown Road A Clearlight Center, Inc. Boxford, MA - 01921 |
| Business Phone Number: | 9788872977 |
| Business Fax Number: | 9783592208 |
| Mailing Address: | 8 Woodland Ave, SALEM |
| State: | NH |
| Postal Code: | 030792236 |
| Phone Number: | 6038939984 |
| Fax Number: | 9783592208 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 09/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1983 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |