Doctor Name: | KRYSTAL SANDOVAL |
NPI Number: | 1043404148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 88241 |
Business Practice Address: | 1100 Walnut St Owensboro, KY - 423012956 |
Business Phone Number: | 2706896500 |
Business Fax Number: | |
Mailing Address: | 707 Broadway Blvd Ne Ste 500, ALBUQUERQUE |
State: | NM |
Postal Code: | 871022367 |
Phone Number: | 5052680701 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2007 |
NPI Last Update Date: | 08/31/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 88241 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |