Provider Demographics
NPI:1245117480
Name:SANCHEZ, MARLO
Entity type:Individual
Prefix:
First Name:MARLO
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-1500
Mailing Address - Country:US
Mailing Address - Phone:925-779-7550
Mailing Address - Fax:925-779-7567
Practice Address - Street 1:700 W 18TH ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-1500
Practice Address - Country:US
Practice Address - Phone:925-779-7550
Practice Address - Fax:925-779-7567
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool