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Jamie Miranda Sandoval
Mental Health Counselor in Las Vegas, New Mexico
NPI 1518675784

Jamie Miranda Sandoval is a Mental Health Counselor based in Las Vegas, NM and is specialized in Mental Health. Jamie Miranda Sandoval practices in Las Vegas, NM. The NPI Number for Jamie Miranda Sandoval is 1518675784 and holds a License No. CTB-2022-0707 (New Mexico).

The current practice location address for Jamie Miranda Sandoval is 1214 National Ave, Las Vegas, NM and can be reached out via phone at 505-426-8095.

Location: 1214 National Ave, Las Vegas, NM, 87701-4906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518675784
Provider Name
Jamie Miranda Sandoval
Credential
Provider Entity Type
Individual
Gender
Female
Address
1214 National Ave, Las Vegas, NM, 87701-4906
Phone Number
505-426-8095
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1214 National Ave
City
Las Vegas
State
New Mexico
Zip
87701-4033
Phone Number
505-426-8095
Fax Number
person
Provider Business Mailing Address Details
Address
1214 National Ave
City
Las Vegas
State
New Mexico
Zip
87701-4033
Phone Number
505-426-8095
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CTB-2022-0707 (New Mexico)
Definition
Definition to come...
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