Mr Preston Sandoval, COUNSELOR | |
Hc 79 Box 1510, Ojo Encino, NM 87013-9612 | |
(505) 731-1505 | |
(505) 731-1502 |
Full Name | Mr Preston Sandoval |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | Hc 79 Box 1510, Ojo Encino, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811269608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0089811 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Preston Sandoval, COUNSELOR Hc 79 Box 1510, Ojo Encino, NM 87013-9612 Ph: (505) 731-1505 | Mr Preston Sandoval, COUNSELOR Hc 79 Box 1510, Ojo Encino, NM 87013-9612 Ph: (505) 731-1505 |
Ms. Jeanette Vice Toledo Vice, LSAA Counselor Medicare: Not Enrolled in Medicare Practice Location: Hc 79 Box 1510, Ojo Encino, NM 87013 Phone: 505-731-1500 Fax: 505-731-1502 | |
Ms. Rosita Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: Hc 79 Box 1510, Ojo Encino, NM 87013 Phone: 505-731-1505 Fax: 505-731-1502 |