Individual
MS. ANTOINETTE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2000 ALAMEDA DE LAS PULGAS STE 200, SAN MATEO, CA 94403-1293
(650) 372-8594
Mailing address
2000 ALAMEDA DE LAS PULGAS STE 200, SAN MATEO, CA 94403-1293
(650) 372-8594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
66743
CA
1041C0700X
Clinical Social Worker
66743
CA
1041C0700X
Clinical Social Worker
Primary
87159
CA
Other
Enumeration date
09/15/2014
Last updated
03/24/2021
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