Willie Sandoval LPC

NPI 1063576882 - Counselor - 101YP2500X

NPI Details
NPI 1063576882
Gender Male
Enumeration Date 12/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2121 N MAIN ST
FORT WORTH TX, 76106-8588, US
Phone (817) 320-3742
Fax
Business Location
PO BOX 166821
IRVING TX, 75016-6821, US
Phone
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Texas
License Number 12739
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According to our database, Willie Sandoval LPC NPI is 1063576882, taxonomy code is 101YP2500X and license number is 12739, license state is located at Texas. Willie Sandoval LPC physically located at 2121 N Main St, Fort Worth TX, 76106-8588. NPI Number Willie Sandoval LPC has the Individual type.

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1063576882 NPI number is provided on an as is basis without warranty of any kind. 1063576882 is maintained by the National Plan & Provider Enumeration System. The contents of Willie Sandoval LPC are for informational purposes only.