Individual provider · Type 1 NPI

Jeffrey Sundberg, LMHC

Mental Health Counselor · Fort Lauderdale, FL

NPI number 1013222678 Active

Practice location

915 Middle River Dr, Suite 317
Fort Lauderdale, FL 33304-3544

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XMH 10368 (FL)
Addiction (Substance Use Disorder) Counselor 101YA0400XMH 10368 (FL)
Mental Health Counselor Primary 101YM0800XMH 10368 (FL)
Professional Counselor 101YP2500XMH 10368 (FL)

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About NPI 1013222678

Jeffrey Sundberg, LMHC's National Provider Identifier is 1013222678, issued on Aug 6, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Aug 6, 2010.