Sandoval, Jackie Faith
Sandoval, Jackie Faith is an individual health care provider with primary practice located at 1001 W Broadway , Farmington NM 87401-5638. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sandoval, Jackie Faith can be contacted via phone (505) 326-2695.Contact Information
Primary practice address
1001 W Broadway
Farmington NM 87401-5638
Phone: (505) 326-2695
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | M-07749 | New Mexico |
Profile Details
| NPI number | 1437530540 |
|---|---|
| LBN Legal business name | Sandoval, Jackie Faith |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2015 |
| Last updated | Jun 15th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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