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NPI Code Detail

MEDICARE: MARIA GUADALUPE JUAREZ SANCHEZ LCSW

MEDICARE:   MARIA GUADALUPE JUAREZ SANCHEZ  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker87876CA

General Provider Information

NPI Number : 1265878938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA GUADALUPE JUAREZ SANCHEZ LCSW
Provider Business Mailing Address
First Line : 1014 HOPPER AVE STE 601
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-1613
Country : US
Telephone Number : 831-210-3305
Fax Number :
Provider Business Practice Location Address
First Line : 1014 HOPPER AVE STE 601
Second Line :
City : SANTA ROSA
State : CA
Zip : 95403-1613
Country : US
Telephone Number : 831-210-3305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2013
Last Update Date : 05/11/2026

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Directions to “ MARIA GUADALUPE JUAREZ SANCHEZ LCSW” Practice Location

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