Provider Demographics
NPI:1972644078
Name:SANCHEZ, ALFONSO (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:ALFONSO
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 FIGUEROA TER APT 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-5919
Mailing Address - Country:US
Mailing Address - Phone:323-943-8588
Mailing Address - Fax:
Practice Address - Street 1:995 FIGUEROA TER APT 105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-5919
Practice Address - Country:US
Practice Address - Phone:323-943-8588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 44903106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist