Individual provider · Type 1 NPI

Charles Jeffrey Sandoz, PhD

Mental Health Counselor · Venice, FL

NPI number 1073758926 Active

Practice location

530 US Highway 41 Byp S, Suite 4A
Venice, FL 34285-4750

Call (941) 244-9510 Map

Fax (941) 244-9511

Mailing address

21007 Bachmann Blvd
Port Charlotte, FL 33954-3061

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9693 (FL)
Professional Counselor 101YP2500X1946 (LA)
Addiction (Substance Use Disorder) Counselor 101YA0400X4614 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1073758926

Charles Jeffrey Sandoz, PhD's National Provider Identifier is 1073758926, issued on Dec 6, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Venice, FL. The record was last updated on Jul 20, 2009.