Provider Demographics
NPI:1790817930
Name:SANCHEZ, SIERRA BLANCA
Entity Type:Individual
Prefix:
First Name:SIERRA
Middle Name:BLANCA
Last Name:SANCHEZ
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 1:1718 NW 56TH ST STE 204
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5238
Mailing Address - Country:US
Mailing Address - Phone:253-576-0070
Mailing Address - Fax:425-640-9600
Practice Address - Street 1:1718 NW 56TH ST STE 204
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-5238
Practice Address - Country:US
Practice Address - Phone:253-576-0070
Practice Address - Fax:425-640-9600
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60187773106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist