Healthcare Provider Details

I. General information

NPI: 1679962435
Provider Name (Legal Business Name): RACHEL L SANCHEZ FAMILY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2015
Last Update Date: 11/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FOREST AVE
PARAMUS NJ
07652-5242
US

IV. Provider business mailing address

525 W LOOKOUT AVE
HACKENSACK NJ
07601-1517
US

V. Phone/Fax

Practice location:
  • Phone: 551-486-5645
  • Fax:
Mailing address:
  • Phone: 551-486-5645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05449900
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: RACHEL L SANCHEZ
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LCSW
Phone: 551-486-5645