Organization
SANDOVAL CARPENTER COUNSELING & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTOINETTE MARIE SANDOVAL CARPENTER MA, LPCC (MENTAL HEALTH COUNSELOR)
(505) 350-6643
Entity
Organization
Contact information
Practice address
1717 GROS VENTRE DR NE, RIO RANCHO, NM 87144-7783
(505) 350-6643
Mailing address
1717 GROS VENTRE DR NE, RIO RANCHO, NM 87144-7783
(505) 350-6643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0080401
NM
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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