Healthcare Provider Details

I. General information

NPI: 1407530389
Provider Name (Legal Business Name): DANIELLE SANCHEZ MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 INDUSTRIAL AVE NE
ALBUQUERQUE NM
87107-2283
US

IV. Provider business mailing address

1711 TRUMAN ST NE
ALBUQUERQUE NM
87110-5853
US

V. Phone/Fax

Practice location:
  • Phone: 505-315-7397
  • Fax:
Mailing address:
  • Phone: 505-980-5906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: