Sandoval, Kelley M
Sandoval, Kelley M is an individual health care provider with primary practice located at 401 Rainbow Dr Unit 35 , Pineville LA 71360-6979. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Sandoval, Kelley M can be contacted via phone (318) 487-5191.Contact Information
Primary practice address
401 Rainbow Dr Unit 35
Pineville LA 71360-6979
Phone: (318) 487-5191
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | RAC #1340 | Louisiana |
Profile Details
NPI number | 1679878235 |
---|---|
LBN Legal business name | Sandoval, Kelley M |
Credentials | RAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 12th, 2011 |
Last updated | Jan 12th, 2011 - about 13 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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