Individual
MRS. SANDRA CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LPC
Contact information
Practice address
4500 W ILLINOIS AVE, MIDLAND, TX 79703-5491
(432) 219-2799
Mailing address
4500 W ILLINOIS AVE STE 310D, MIDLAND, TX 79703-5428
(432) 219-2799
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
68841
TX
106H00000X
Marriage & Family Therapist
Primary
201698
TX
Other
Enumeration date
09/02/2016
Last updated
09/27/2017
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