Individual
SANDRA LEILANI AHKOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
751 RANCHEROS DR STE 5, SAN MARCOS, CA 92069-3042
(760) 761-0515
(760) 761-0515
Mailing address
751 RANCHEROS DR STE 5, SAN MARCOS, CA 92069-3042
(760) 761-0515
(760) 761-0515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/28/2022
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