Healthcare Provider Details

I. General information

NPI: 1023940137
Provider Name (Legal Business Name): VALERIA SANDOVAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TIERRA DEL SOL 1002 S SOMERTON AVE
SOMERTON AZ
85350
US

IV. Provider business mailing address

PO BOX 3200
SOMERTON AZ
85350-3200
US

V. Phone/Fax

Practice location:
  • Phone: 928-341-6400
  • Fax:
Mailing address:
  • Phone: 928-341-6012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number6826330
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: