Provider Demographics
NPI:1699383422
Name:SANCHEZ, ASHLEY JUNE (MSW INTERN, RADT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JUNE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MSW INTERN, RADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14140 BEACH BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4453
Mailing Address - Country:US
Mailing Address - Phone:714-896-7574
Mailing Address - Fax:714-896-7332
Practice Address - Street 1:14140 BEACH BLVD STE 200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4453
Practice Address - Country:US
Practice Address - Phone:714-896-7574
Practice Address - Fax:714-896-7332
Is Sole Proprietor?:No
Enumeration Date:2020-07-17
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104100000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker