Individual provider · Type 1 NPI
Sandra Cecelia Bodge, CASE MANAGER
Mental Health Counselor · El Prado, NM
NPI number
1235181371
Active
Practice location
67 Sugar Ln
El Prado, NM 87529
Mailing address
Pob 2916
Ranchos De Taos, NM 87557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | T-0096331 (NM) |
Mental Health Counselor: Definition to come...
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About NPI 1235181371
Sandra Cecelia Bodge, CASE MANAGER's National Provider Identifier is 1235181371, issued on May 17, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in El Prado, NM. The record was last updated on Jan 22, 2024.