Jennifer Sandoval, LADAC

NPI #1649265711 in Isleta, New Mexico

Provider Information

NPI Number
1649265711
Entity Type
Individual
Name
Jennifer Sandoval, LADAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LADAC
Enumeration Date
Sep 15, 2005
Last Updated
May 16, 2012

Practice Location

Address
01 SAGEBRUSH STREET
City
Isleta
ZIP Code
87022
Phone
(505) 869-5474

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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Organizations

Provider Name
Pueblo of Isleta

Part of Pueblo of Isleta

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