Provider Demographics
NPI:1942536859
Name:SANCHEZ, SELESTTE DOLORES (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SELESTTE
Middle Name:DOLORES
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 EAST EL PASEO ROAD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001
Mailing Address - Country:US
Mailing Address - Phone:575-532-9050
Mailing Address - Fax:
Practice Address - Street 1:506 S MAIN ST
Practice Address - Street 2:SUITE 420
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-1207
Practice Address - Country:US
Practice Address - Phone:575-532-9050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMX-07155101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health