Healthcare Provider Details

I. General information

NPI: 1447334651
Provider Name (Legal Business Name): VERONICA SANCHEZ LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19965 FM 3175 NORTH
LYTLE TX
78052
US

IV. Provider business mailing address

PO BOX 725
LYTLE TX
78052-0725
US

V. Phone/Fax

Practice location:
  • Phone: 210-357-0300
  • Fax: 210-357-0458
Mailing address:
  • Phone: 210-357-0369
  • Fax: 210-357-0458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14150
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: