Provider Demographics
NPI:1750028015
Name:SAENZ, SANDRA AYLEEN (LPC-C)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:AYLEEN
Last Name:SAENZ
Suffix:
Gender:F
Credentials:LPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 KELSI DR
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-0703
Mailing Address - Country:US
Mailing Address - Phone:210-771-0759
Mailing Address - Fax:
Practice Address - Street 1:905 KELSI DR
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-0703
Practice Address - Country:US
Practice Address - Phone:210-771-0759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-18
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK12826101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health