Mark Sandberg
Mark Sandberg is a Mental Health Counselor in Viroqua, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.
- Licensed in
- WI
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
118 E Jefferson StViroqua, WI 54665-1613
Phone: (608) 632-3286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 9208-123 (WI) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1316486731 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 17, 2017 |
| Last updated in NPPES | February 13, 2020 |
| Certification date | February 13, 2020 |
| Mailing address | Po Box 11, Viroqua, WI 54665-0011 |
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-
MS. Prudence Tippins, MFT
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-
Megan Faith Tully
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