JONATHAN D SANDAU NPI 1104277201

NPI Information

  • NPI: 1104277201
  • Provider Name: JONATHAN D SANDAU
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 557 HAMMOND ST
    BANGOR, ME
    ZIP 04401
  • Phone: (207) 973-0505

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NPI Details

Jonathan D Sandau is an addiction (substance use disorder) counselor in Bangor, ME. Jonathan D Sandau NPI is 1104277201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

557 HAMMOND ST
BANGOR, ME
ZIP 04401-511
Phone: (207) 973-0505
Fax: (207) 992-2175

The enumeration date for this NPI number is 6/29/2016 and was last updated on 6/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CAC6099MAINEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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