Doctor Name: | MARY SANDOR |
NPI Number: | 1811396526 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, LPC-A, LCAS-A |
License Number: | NCC #321096 |
Business Practice Address: | 126 Main St Warrenton, NC - 27589 |
Business Phone Number: | 9194284546 |
Business Fax Number: | |
Mailing Address: | 822 Bluestone Rd, DURHAM |
State: | NC |
Postal Code: | 277131902 |
Phone Number: | 9196160913 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2014 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | NCC #321096 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |