Provider Demographics
NPI:1851784680
Name:PASCUAL, SANDRA (LPC, NCC, CPCS)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:PASCUAL
Suffix:
Gender:F
Credentials:LPC, NCC, CPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3124 SUGARBERRY LN
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-8567
Mailing Address - Country:US
Mailing Address - Phone:404-790-1610
Mailing Address - Fax:
Practice Address - Street 1:ONLINE ONLY
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:404-790-1610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-18
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health