Provider Demographics
NPI:1619146271
Name:SANCEHZ, VIRGINIA A
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:A
Last Name:SANCEHZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 A STREET
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA,
Mailing Address - State:CA
Mailing Address - Zip Code:93454-1187
Mailing Address - Country:US
Mailing Address - Phone:980-528-5000
Mailing Address - Fax:805-922-6302
Practice Address - Street 1:2445 A ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1401
Practice Address - Country:US
Practice Address - Phone:805-928-5000
Practice Address - Fax:805-922-6302
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health