GARY R SANDBERG M.A. - NPI 1730395252 - Marriage & Family Therapist in Champlin, MN

Q: What is Gary Sandberg's NPI number?

The NPI number for Gary Sandberg is 1730395252. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Q: What is Gary Sandberg's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Sandberg was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Gary R Sandberg M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY R SANDBERG M.A. (NPI 1730395252) is an individual marriage & family therapist in Champlin, Minnesota, licensed in Minnesota (2392) and active in the NPI registry since May 2007. He maintains a secondary practice location in Coon Rapids.

NPPES Registry Identity

NPI1730395252

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameGARY R SANDBERGCredential: M.A.

Location Address11141 ZEALAND AVE NChamplin, MN 55316

Mailing Address13879 Bluebird St NwAndover, MN 55304-4050 · (763) 757-8855

Phone(763) 291-7065

Sole ProprietorNo

Enumeration DateMay 14, 2007

Last NPPES UpdateJuly 9, 2018

✔ NPI 1730395252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 2392

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

11141 ZEALAND AVE N, Champlin, MN 55316

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Secondary Practice Location 1

Location 1299 Coon Rapids Blvd NW Ste 211Coon Rapids, MN 55433-5805 · Phone (763) 291-7065 · Fax (763) 951-3097

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHANNON LEE ROYER COUNSELOR

Counselor (Mental Health)