Individual
ANNA CHAVEZ-SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1942 BROADWAY STE 314C, BOULDER, CO 80302-5233
(719) 215-8469
Mailing address
PO BOX 522, LA JARA, CO 81140-0522
(719) 215-8469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
07/13/2022
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