Provider Demographics
NPI:1215602354
Name:SANCHEZ, TOBBIE J (CSW)
Entity Type:Individual
Prefix:
First Name:TOBBIE
Middle Name:J
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 S 400 E STE 450
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-5306
Mailing Address - Country:US
Mailing Address - Phone:801-467-2863
Mailing Address - Fax:
Practice Address - Street 1:124 S 400 E STE 450
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-5306
Practice Address - Country:US
Practice Address - Phone:801-467-2863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT345297-3502101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health