JONATHAN SANDOVAL

PHOENIX, OR
NPI1154896462
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-10-12
Last Update Date2018-10-12
Business Address
JONATHAN SANDOVAL QMHA
149 S MAIN ST
PHOENIX, OR 97535-6631
Phone number: 541-535-4133
Mailing Address
JONATHAN SANDOVAL QMHA
2644 CARR ST
WHITE CITY, OR 97503-1104
Phone number:
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