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NPI Code Detail

MEDICARE: MISS MICHELLE CATHERINE SANCHEZ

MEDICARE:  MISS MICHELLE CATHERINE 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
1101YA0400XAddiction (Substance Use Disorder) Counselor11094CA
2106H00000XMarriage & Family Therapist
3101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1107366150OTHERCAMEDICAL

General Provider Information

NPI Number : 1720212830
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MICHELLE CATHERINE SANCHEZ
Provider Business Mailing Address
First Line : 449 FERNDALE AVE
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-1247
Country : US
Telephone Number : 805-340-6268
Fax Number :
Provider Business Practice Location Address
First Line : 449 FERNDALE AVE
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-1247
Country : US
Telephone Number : 805-340-6268
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2009
Last Update Date : 03/17/2021

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Directions to “ MISS MICHELLE CATHERINE SANCHEZ ” Practice Location

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