Individual
ALEJANDRO SANDOVAL GONZALEZ DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA, CADA
Contact information
Practice address
595 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-2536
(541) 567-2632
Mailing address
595 NW 11TH ST, HERMISTON, OR 97838-6600
(909) 492-1392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
03/03/2025
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