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NPI Code Detail

MEDICARE: JENNIFER LYNN SANCHEZ LCSW

MEDICARE: JENNIFER LYNN 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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2104100000XSocial Worker10513LA

General Provider Information

NPI Number : 1346685401
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN SANCHEZ LCSW
Provider Business Mailing Address
First Line : 2116 N BOLTON AVE
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-4405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2116 N BOLTON AVE
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-4405
Country : US
Telephone Number : 318-445-1250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2013
Last Update Date : 01/30/2020

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