Individual
MS. SANDRA J EARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.P.C.C.
Contact information
Practice address
1813 HOPI RD, SANTA FE, NM 87505-3308
(505) 660-3607
Mailing address
1813 HOPI RD, SANTA FE, NM 87505-3308
(505) 660-3607
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1216
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02960670005
CRS
NM
Enumeration date
07/22/2009
Last updated
11/29/2011
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