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NPI Code Detail

MEDICARE: KIMBERLY SANCHEZ

MEDICARE: KIMBERLY SANCHEZ
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1609450725
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY SANCHEZ
Provider Business Mailing Address
First Line : 16 WINTER ST
Second Line :
City : HYDE PARK
State : MA
Zip : 02136-2636
Country : US
Telephone Number : 401-359-6220
Fax Number :
Provider Business Practice Location Address
First Line : 16 WINTER ST
Second Line :
City : HYDE PARK
State : MA
Zip : 02136-2636
Country : US
Telephone Number : 401-359-6220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2021
Last Update Date : 05/06/2021

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Directions to “ KIMBERLY SANCHEZ ” Practice Location

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