Individual
SANDRA MICHELLE SANTOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0171681
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64153274
—
NM
05
—
70336849
—
NM
Enumeration date
03/09/2011
Last updated
04/28/2017
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