GENARO SANDOVAL

AUSTIN, TX
NPI1720245798
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  10685)
Enumeration Date2008-05-19
Last Update Date2009-05-05
Business Address
Mr. GENARO SANDOVAL B.A., LCDC
7703 N LAMAR BLVD STE 104
AUSTIN, TX 78752-1003
Phone number: 512-659-3518
Mailing Address
Mr. GENARO SANDOVAL B.A., LCDC
500 E STASSNEY LN APT 437
AUSTIN, TX 78745-3253
Phone number: 512-659-3518