Provider Demographics
NPI:1154517811
Name:SANCHEZ, HORACIO (ACSW)
Entity type:Individual
Prefix:MR
First Name:HORACIO
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:ACSW
Other - Prefix:
Other - First Name:HORACIO
Other - Middle Name:
Other - Last Name:SANCHEZ-AZPEITIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 919
Mailing Address - Street 2:CRITTENTON SERVICES
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92836-0919
Mailing Address - Country:US
Mailing Address - Phone:714-680-8268
Mailing Address - Fax:714-680-8233
Practice Address - Street 1:801 E CHAPMAN AVE
Practice Address - Street 2:#203
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3839
Practice Address - Country:US
Practice Address - Phone:714-680-8268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA792631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical