Provider Demographics
NPI:1356181176
Name:SANCHEZ, KATHERINE JUDITH (MS, MHC-LP, BA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JUDITH
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS, MHC-LP, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15332 75TH AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-3029
Mailing Address - Country:US
Mailing Address - Phone:347-553-8044
Mailing Address - Fax:
Practice Address - Street 1:83 WOODBINE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-4944
Practice Address - Country:US
Practice Address - Phone:646-780-9050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health