Provider Demographics
NPI:1093122376
Name:SANCHEZ, LORRAINE (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2549 EASTBLUFF DR STE B
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-3599
Mailing Address - Country:US
Mailing Address - Phone:951-233-1656
Mailing Address - Fax:
Practice Address - Street 1:1561 MESA DR APT 36
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-0246
Practice Address - Country:US
Practice Address - Phone:951-233-1656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109578106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty