Individual provider · Type 1 NPI

Jacquelyn Paola Sandoval, LPC

Professional Counselor · Grants Pass, OR

NPI number 1265176523 Active

Practice location

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XC11220 (OR)

Professional Counselor: Definition to come...

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About NPI 1265176523

Jacquelyn Paola Sandoval, LPC's National Provider Identifier is 1265176523, issued on Apr 22, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grants Pass, OR. The record was last updated on Feb 6, 2026.