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General NPI Number Information
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NPI Number | 1346589298
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Entity Type | Individual
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Provider Name | LISETTE SANCHEZ PHD
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Gender | Female
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 3416 S SEPULVEDA BLVD 11TH FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90034
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Country | US
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Telephone | 909-575-8552
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Fax |
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Provider Business Mailing Address
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Address Line | 135 W 10TH ST
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City | CLAREMONT
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State | CA
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Zip | 91711-3827
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Country | US
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Telephone | 818-915-9384
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 315410
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License Number State | CA
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