Individual provider · Type 1 NPI

Justin Basilio Rosales Sandoval

Mental Health Counselor · Springfield, OR

NPI number 1639468895 Active

Practice location

744 Oakdale Ave
Springfield, OR 97477-1129

Call (541) 513-3162 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639468895

Justin Basilio Rosales Sandoval's National Provider Identifier is 1639468895, issued on Mar 28, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, OR. The record was last updated on Jan 30, 2012.