person
Jennifer Sandoval, LADAC
Addiction (Substance Use Disorder) Counselor in Isleta, New Mexico
NPI 1649265711

Jennifer Sandoval is an Addiction (Substance Use Disorder) Counselor based in Isleta, NM and is specialized in Addiction (Substance Use Disorder). Jennifer Sandoval practices in Isleta, NM and has the professional credentials of LADAC. The NPI Number for Jennifer Sandoval is 1649265711 and holds a License No. 3850 (New Mexico).

The current practice location address for Jennifer Sandoval is 01 Sagebrush Street, Isleta, NM and can be reached out via phone at 505-869-5474 and via fax at 505-869-4584.

Location: 01 Sagebrush Street, Isleta, NM, 87022
person
Provider Profile Details
NPI Number
1649265711
Provider Name
Jennifer Sandoval
Credential
LADAC
Provider Entity Type
Individual
Gender
Female
Address
01 Sagebrush Street, Isleta, NM, 87022
Phone Number
505-869-5474
Fax Number
505-869-4584
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
01 Sagebrush Street
City
State
Zip
87022
Phone Number
505-869-5474
Fax Number
505-869-4584
person
Provider Business Mailing Address Details
Address
01 Sagebrush Street
City
State
Zip
87022
Phone Number
505-869-5474
Fax Number
505-869-4584
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3850 (New Mexico)
Definition
Definition to come...
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