Individual
ANTOINETTE SANDOVAL-CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1717 GROS VENTRE DR NE, RIO RANCHO, NM 87144-7783
(505) 350-6643
Mailing address
12 UNSER BLVD SE, RIO RANCHO, NM 87124-6300
(505) 896-2520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0080401
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86284720
—
NM
Enumeration date
02/24/2006
Last updated
03/20/2017
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