Provider Demographics
NPI:1306970348
Name:SANCHEZ, GUADALUPE JR (MSW)
Entity type:Individual
Prefix:MR
First Name:GUADALUPE
Middle Name:
Last Name:SANCHEZ
Suffix:JR
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 5TH ST
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-6016
Mailing Address - Country:US
Mailing Address - Phone:209-985-6204
Mailing Address - Fax:209-669-6967
Practice Address - Street 1:1270 5TH ST
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-6016
Practice Address - Country:US
Practice Address - Phone:209-985-6204
Practice Address - Fax:209-669-6967
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 20658101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional