Provider Demographics
NPI:1407149909
Name:SAENZ, MICHELLE LEANN (MFT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:LEANN
Last Name:SAENZ
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:LEANN
Other - Last Name:OREM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTI
Mailing Address - Street 1:52 TU SU LANE
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-8058
Mailing Address - Country:US
Mailing Address - Phone:760-873-6394
Mailing Address - Fax:760-873-3254
Practice Address - Street 1:52 TU SU LANE
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-8058
Practice Address - Country:US
Practice Address - Phone:760-873-8464
Practice Address - Fax:760-873-3935
Is Sole Proprietor?:No
Enumeration Date:2011-05-17
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52115106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist