Individual
SANDRA JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6520
(505) 265-7074
Mailing address
5608 ZUNI RD SE, ALBUQUERQUE, NM 87108-2926
(505) 262-6520
(505) 265-7074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0127261
NM
103TS0200X
School Psychologist
265237
NM
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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