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Individual
DIANNA LYNN SANDOVAL
Active
Individual
DIANNA LYNN SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3395
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
3395
CO
Other
Enumeration date
03/19/2008
Last updated
02/14/2020
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