MEDICARE: DR. JENNIFER SANCHEZ PHD CRC CVE LP LMHC

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
1	101YM0800X	Mental Health Counselor	097602	IA
2	101YS0200X	School Counselor	1077884	FL
3	225C00000X	Rehabilitation Counselor	00112743
4	103T00000X	Psychologist	097603	IA

General Provider Information

NPI Number	:	1588285373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER SANCHEZ PHD CRC CVE LP LMHC

Provider Business Mailing Address
First Line	:	4902 NAVARRE RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-4634
Country	:	US
Telephone Number	:	608-622-5243
Fax Number	:

Provider Business Practice Location Address
First Line	:	4902 NAVARRE RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-4634
Country	:	US
Telephone Number	:	608-622-5243
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2020
Last Update Date	:	02/07/2022

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