Provider Demographics
NPI:1316230501
Name:SANCHEZ, GINNY CLARE (LMHC,)
Entity Type:Individual
Prefix:MS
First Name:GINNY
Middle Name:CLARE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMHC,
Other - Prefix:MS
Other - First Name:GINNY
Other - Middle Name:CLARE
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC,
Mailing Address - Street 1:7108 LEONA ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4829
Mailing Address - Country:US
Mailing Address - Phone:505-554-9003
Mailing Address - Fax:
Practice Address - Street 1:7108 LEONA ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4829
Practice Address - Country:US
Practice Address - Phone:505-554-9003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-20
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0130111101YM0800X
NM273771101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool