Individual
MRS. SARAH NICOLE SANDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAC-II
Contact information
Practice address
560 S BOND DR, PUEBLO, CO 81007-1697
(719) 565-8189
Mailing address
560 S BOND DR, PUEBLO, CO 81007-1697
(719) 565-8189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7594
CO
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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