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Individual
SUSAN LEIGH SANDOVAL
Active
Individual
SUSAN LEIGH SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.T.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACA.0008128
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0021272
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC01832
KS
Other
Enumeration date
02/04/2022
Last updated
03/21/2023
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