Provider Demographics
NPI:1538848205
Name:SANCHEZ, ALICIA MARIE (LMHC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:MARIE
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:MARIE
Other - Last Name:MULHOLLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:212 HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:AZTEC
Mailing Address - State:NM
Mailing Address - Zip Code:87410-1590
Mailing Address - Country:US
Mailing Address - Phone:505-316-0033
Mailing Address - Fax:
Practice Address - Street 1:212 HERITAGE LN
Practice Address - Street 2:
Practice Address - City:AZTEC
Practice Address - State:NM
Practice Address - Zip Code:87410-1590
Practice Address - Country:US
Practice Address - Phone:505-316-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM368765101YS0200X
NMCTB-2023-0599101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool