Individual provider · Type 1 NPI
Sandra Gene Gavin, LPC
Professional Counselor · Alamosa, CO
NPI number
1467928192
Active
Practice location
1313 Sarah Ln
Alamosa, CO 81101-2262
Mailing address
1474 Legacy Dr Unit 4
Dekalb, IL 60115-2079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0018170 (CO) |
| Professional Counselor Primary | 101YP2500X | 178.014115 (IL) |
Professional Counselor: Definition to come...
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About NPI 1467928192
Sandra Gene Gavin, LPC's National Provider Identifier is 1467928192, issued on Oct 20, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Alamosa, CO. The record was last updated on Aug 19, 2024.