Provider Demographics
NPI:1508311812
Name:SANCHEZ, FERNANDA (LMFT)
Entity Type:Individual
Prefix:
First Name:FERNANDA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 BURGUNDY PKWY
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-1811
Mailing Address - Country:US
Mailing Address - Phone:224-612-1846
Mailing Address - Fax:
Practice Address - Street 1:1535 BURGUNDY PKWY
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-1811
Practice Address - Country:US
Practice Address - Phone:224-612-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001073106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist