Provider Demographics
NPI:1912366857
Name:JOCOY, SANDY HOLTE (LMFT)
Entity Type:Individual
Prefix:
First Name:SANDY
Middle Name:HOLTE
Last Name:JOCOY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21243 VENTURA BLVD STE 121
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2162
Mailing Address - Country:US
Mailing Address - Phone:818-519-6782
Mailing Address - Fax:
Practice Address - Street 1:21243 VENTURA BLVD STE 121
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2162
Practice Address - Country:US
Practice Address - Phone:818-519-6782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-21
Last Update Date:2016-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82959106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist