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Individual

KRYSTAL SANDOVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6500
Mailing address
707 BROADWAY BLVD NE STE 500, ALBUQUERQUE, NM 87102-2367
(505) 268-0701

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
88241
NM

Other

Enumeration date
08/31/2007
Last updated
08/31/2007
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