Provider Demographics
NPI:1568667533
Name:SANCHEZ, MARIO A (LPC, LISAC)
Entity Type:Individual
Prefix:
First Name:MARIO
Middle Name:A
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:LPC, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6814 N ORACLE RD STE 240
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4253
Mailing Address - Country:US
Mailing Address - Phone:520-891-2127
Mailing Address - Fax:520-214-0741
Practice Address - Street 1:6814 N ORACLE RD STE 240
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4253
Practice Address - Country:US
Practice Address - Phone:520-891-2127
Practice Address - Fax:520-214-0741
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-14539101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health