Provider Demographics
NPI:1407530389
Name:SANCHEZ, DANIELLE (MSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 TRUMAN ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-5853
Mailing Address - Country:US
Mailing Address - Phone:505-980-5906
Mailing Address - Fax:
Practice Address - Street 1:119 INDUSTRIAL AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-2283
Practice Address - Country:US
Practice Address - Phone:505-315-7397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health