Provider Demographics
NPI:1255450391
Name:SANCHEZ, DAVID (MS, LPC, LCAS, CSAT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:MS, LPC, LCAS, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5970 FAIRVIEW RD STE 414
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3179
Mailing Address - Country:US
Mailing Address - Phone:980-263-9608
Mailing Address - Fax:
Practice Address - Street 1:5970 FAIRVIEW RD STE 414
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3179
Practice Address - Country:US
Practice Address - Phone:980-263-9608
Practice Address - Fax:980-498-7881
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7447101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health