| Doctor Name: | SANDRA JULIE CANTU |
| NPI Number: | 1295910586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC-INTERN |
| License Number: | 62693 |
| Business Practice Address: | 63 S Wright St Alice, TX - 783324905 |
| Business Phone Number: | 3616648829 |
| Business Fax Number: | 3616645842 |
| Mailing Address: | 63 S Wright St, ALICE |
| State: | TX |
| Postal Code: | 783324905 |
| Phone Number: | 3616648829 |
| Fax Number: | 3616645842 |
| NPI Enumeration Date: | 01/04/2008 |
| NPI Last Update Date: | 01/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 62693 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |