KELLEY M SANDOVAL RAC NPI 1679878235

NPI Information

NPI: 1679878235
Provider Name: KELLEY M SANDOVAL, RAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
401 RAINBOW DR UNIT 35
PINEVILLE, LA
ZIP 71360
Phone: (318) 487-5191
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Kelley M Sandoval, RAC is an addiction (substance use disorder) counselor in Pineville, LA. Kelley M Sandoval, RAC NPI is 1679878235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

401 RAINBOW DR UNIT 35
PINEVILLE, LA
ZIP 71360-979
Phone: (318) 487-5191

The enumeration date for this NPI number is 1/12/2011 and was last updated on 1/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	RAC #1340	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5DL60	MEDICARE PIN	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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