Sundberg, Jeffrey

Sundberg, Jeffrey is an sole proprietor health care provider with primary practice located at 915 Middle River Dr Suite 317, Fort Lauderdale FL 33304-3544. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sundberg, Jeffrey can be contacted via phone (954) 812-6965.

Contact Information

Primary practice address
915 Middle River Dr Suite 317 Fort Lauderdale FL 33304-3544
Phone: (954) 812-6965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MH 10368 Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH 10368 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 10368 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH 10368 Florida

Profile Details

NPI number 1013222678
LBN Legal business name Sundberg, Jeffrey
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2010
Last updated Aug 6th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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