Individual
ANTHONY SANDOVAL-JUNIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
215 W BEAMER ST, WOODLAND, CA 95695-2510
(530) 405-2815
Mailing address
215 W BEAMER ST, WOODLAND, CA 95695-2510
(530) 405-2815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RT1419070925
CA
Other
Enumeration date
02/20/2015
Last updated
09/12/2025
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