Provider Demographics
NPI:1902618382
Name:SANDBACH, CHRISTOPHER DAVID (MA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:SANDBACH
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 HART STREET
Mailing Address - Street 2:PO BOX 383
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80520-0383
Mailing Address - Country:US
Mailing Address - Phone:303-618-1608
Mailing Address - Fax:
Practice Address - Street 1:533 HART STREET
Practice Address - Street 2:PO BOX 383
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80520-0383
Practice Address - Country:US
Practice Address - Phone:303-618-1608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0022796101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health