Individual
KELLY SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
1011 S VALENTIA ST, DENVER, CO 80247-6812
(303) 564-1868
(303) 393-8637
Mailing address
1011 S VALENTIA ST UNIT 85, DENVER, CO 80247-6815
(303) 564-1868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021042
CO
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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