Individual
JACQUELYN SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
9583 HWY 337, ESTANCIA, NM 87016-9776
(575) 571-1695
Mailing address
9583 HWY 337, ESTANCIA, NM 87016-9776
(575) 571-1695
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
CMF0183591
NM
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47043
—
NM
Enumeration date
01/07/2011
Last updated
07/28/2023
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