Provider Demographics
NPI:1316061823
Name:SANCHEZ, MATTHEW MOSES (LPC)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:MOSES
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8508 CLIVEDON DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3990
Mailing Address - Country:US
Mailing Address - Phone:919-749-3226
Mailing Address - Fax:
Practice Address - Street 1:8508 CLIVEDON DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3990
Practice Address - Country:US
Practice Address - Phone:919-749-3226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2692101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional