Provider Demographics
NPI:1609250182
Name:SANCHEZ, GAURI SAIRA (MS)
Entity Type:Individual
Prefix:MS
First Name:GAURI
Middle Name:SAIRA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2612 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95205-2850
Mailing Address - Country:US
Mailing Address - Phone:209-933-1025
Mailing Address - Fax:916-226-2804
Practice Address - Street 1:9412 BIG HORN BLVD
Practice Address - Street 2:STE #6
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-1101
Practice Address - Country:US
Practice Address - Phone:916-226-2812
Practice Address - Fax:916-226-2804
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110027106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist