Individual
MRS. DENISE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LCPC
Contact information
Practice address
21 S LA GRANGE RD STE 200, LA GRANGE, IL 60525-2479
(708) 955-1522
Mailing address
4106 GAGE AVE, LYONS, IL 60534-1408
(708) 955-1522
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180011932
IL
Other
Enumeration date
08/19/2015
Last updated
04/22/2025
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