Healthcare Provider Details

I. General information

NPI: 1801652433
Provider Name (Legal Business Name): MELISSA MICHELLE SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6051 N FRESNO ST STE 202
FRESNO CA
93710-5280
US

IV. Provider business mailing address

PO BOX 25032
FRESNO CA
93729-5032
US

V. Phone/Fax

Practice location:
  • Phone: 559-256-0100
  • Fax:
Mailing address:
  • Phone: 559-492-6585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCI33920921
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number154011
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: