Provider Demographics
NPI:1215508056
Name:SANCHEZ, ROBERT JAMES (LCDC)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JAMES
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:LCDC
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:JAMES
Other - Last Name:SANCHEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCDC
Mailing Address - Street 1:1205 E HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-3318
Mailing Address - Country:US
Mailing Address - Phone:956-728-0440
Mailing Address - Fax:
Practice Address - Street 1:1605 SALDANA AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-6220
Practice Address - Country:US
Practice Address - Phone:956-724-3177
Practice Address - Fax:956-724-4861
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13071101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)