Individual provider · Type 1 NPI

Jesse Sandoz, LCDC

Addiction (Substance Use Disorder) Counselor · San Antonio, TX

NPI number 1578868154 Active

Practice location

3031 Ih 10 W
San Antonio, TX 78201-5159

Fax (210) 731-1385

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X8688 (TX)

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

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About NPI 1578868154

Jesse Sandoz, LCDC's National Provider Identifier is 1578868154, issued on Jan 13, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Antonio, TX. The record was last updated on Jan 13, 2011.