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NPI Code Detail

MEDICARE: THOMAS R SANCHEZ LCSW

MEDICARE: THOMAS R SANCHEZ LCSW
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
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1194814400
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS R SANCHEZ LCSW
Provider Business Mailing Address
First Line : 2009 NEWHAVEN ST
Second Line :
City : CALDWELL
State : ID
Zip : 83607-1709
Country : US
Telephone Number : 208-695-4533
Fax Number :
Provider Business Practice Location Address
First Line : 702 SUNSET DR
Second Line :
City : ONTARIO
State : OR
Zip : 97914-3121
Country : US
Telephone Number : 541-889-9167
Fax Number : 547-889-7873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 10/04/2013

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Directions to “ THOMAS R SANCHEZ LCSW” Practice Location

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