Healthcare Provider Details

I. General information

NPI: 1205381035
Provider Name (Legal Business Name): JOSELYN SANCHEZ M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2016
Last Update Date: 09/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5351 CARPINTERIA AVE
CARPINTERIA CA
93013-2101
US

IV. Provider business mailing address

232 E CANON PERDIDO ST
SANTA BARBARA CA
93101-2242
US

V. Phone/Fax

Practice location:
  • Phone: 805-684-4544
  • Fax: 805-566-3839
Mailing address:
  • Phone: 805-963-1433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF94410
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: