ROGER KENNETH SANDBERG

OLNEY, MD
NPI1770801078
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: MD  LC1046)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  MFC29326)
101YM0800X Counselor, Mental Health
(Licence: MD  LC1046)
Enumeration Date2010-05-11
Last Update Date2010-05-11
Business Address
Mr. ROGER KENNETH SANDBERG LCPC
2911 OLNEY SANDY SPRING RD STE A
OLNEY, MD 20832-3506
Phone number: 301-452-2743
Mailing Address
Mr. ROGER KENNETH SANDBERG LCPC
PO BOX 5205
LAYTONSVILLE, MD 20882-0205
Phone number: 301-452-2743