Provider Demographics
NPI:1457457772
Name:SANCHEZ, RENEE JOAN (LCPC)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:JOAN
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W GOLD ST
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2111
Mailing Address - Country:US
Mailing Address - Phone:406-491-4976
Mailing Address - Fax:
Practice Address - Street 1:501 E FRONT ST
Practice Address - Street 2:SUITE 504
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-5209
Practice Address - Country:US
Practice Address - Phone:406-491-4976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1161101YA0400X
MTBBHLCPC1492101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)