Doctor Name: | MS. SANDRA DEE MAJORS |
NPI Number: | 1891997672 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, CACIII |
License Number: | 6517 |
Business Practice Address: | 926 Russell Street Walsenburg, CO - 81089 |
Business Phone Number: | 7197382386 |
Business Fax Number: | 7197381066 |
Mailing Address: | P.o. Box 432, LA VETA |
State: | CO |
Postal Code: | 81055 |
Phone Number: | 7197382386 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 11/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 6517 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |