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Individual

ANGELICA MARIA SANCHEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1217 NE BURNSIDE RD STE 401B, GRESHAM, OR 97030-5705
(503) 714-6426
Mailing address
1217 NE BURNSIDE RD STE 401B, GRESHAM, OR 97030-5705
(503) 714-6426
(503) 912-7019

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13-12-25
OR
1041C0700X
Clinical Social Worker
Primary
L6367
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500671951
OR
Enumeration date
06/29/2012
Last updated
12/13/2021
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