Individual
SERGIO ALEJANDRO SANCHEZ CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 3RD AVE SW, ALBANY, OR 97321-2272
(541) 967-3866
Mailing address
32020 GRIFFITH DR, TANGENT, OR 97389-9735
(480) 246-4681
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/24/2022
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