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NPI Code Detail

MEDICARE: KENDAL JILL SANDOVAL

MEDICARE: KENDAL JILL SANDOVAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist130341CA
2106H00000XMarriage & Family Therapist206149TX

General Provider Information

NPI Number : 1578007936
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDAL JILL SANDOVAL
Provider Business Mailing Address
First Line : 12238 QUEENSTON BLVD STE F
Second Line :
City : HOUSTON
State : TX
Zip : 77095-5351
Country : US
Telephone Number : 346-200-8318
Fax Number :
Provider Business Practice Location Address
First Line : 12238 QUEENSTON BLVD STE F
Second Line :
City : HOUSTON
State : TX
Zip : 77095-5351
Country : US
Telephone Number : 346-200-8318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2016
Last Update Date : 08/31/2025

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Directions to “ KENDAL JILL SANDOVAL ” Practice Location

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