Individual provider · Type 1 NPI

Jonathan Sandoval, QMHA

Addiction (Substance Use Disorder) Counselor · Phoenix, OR

NPI number 1154896462 Active

Practice location

149 S Main St
Phoenix, OR 97535-6631

Call (541) 535-4133 Map

Mailing address

2644 Carr St
White City, OR 97503-1104

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154896462

Jonathan Sandoval, QMHA's National Provider Identifier is 1154896462, issued on Oct 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, OR. The record was last updated on Oct 12, 2018.