Individual
MR. JOSE LUIS SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC11
Contact information
Practice address
182 S.W. ACADEMY, SUITE 304, DALLAS, OR 97338
(503) 623-1886
Mailing address
182 S.W. ACADEMY, SUITE 304, DALLAS, OR 97338
(503) 623-1886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02- P-06
CADCII THE ADDICTION COUNSELOR CERTIFICATION BOARD OF OREGON
OR
Enumeration date
05/08/2008
Last updated
01/15/2010
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