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Individual

KENNY D SANCHEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L. A. D. A. C

Contact information

Practice address
650 VANDEN BOSCH PKWY, GALLUP, NM 87301-5508
(505) 726-6931
(505) 722-5862
Mailing address
650 VANDEN BOSCH PKWY, GALLUP, NM 87301-5508
(505) 726-6931
(505) 722-5862

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0066982
NM

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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