Jacquelyn Sanchez, MS, LMFT
Individual provider Active NPI Marriage & Family Therapist · Estancia, NM
NPI 1194029942 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1194029942
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- CMF0183591 (NM)
- Practice address
- 9583 Hwy 337
Estancia, NM 87016-9776 - Phone
- (575) 571-1695
- NPI assigned
- Jan 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CMF0183591 | NM | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Marriage & Family Therapist | 106H00000X | CMF0183591 | NM | Yes |
Addresses
Primary practice location
9583 Hwy 337
Estancia, NM 87016-9776
Mailing address
9583 Hwy 337
Estancia, NM 87016-9776
Phone (575) 571-1695
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47043 | Medicaid | NM |
Other providers in Estancia, NM
- Presbyterian Medical Services
- John Ebenezer Pressly
- Barbara Ann Rattenborg
- Fedelina Dolores Romero Padilla
- Chariti Sanchez
- Soulshine at Native Hills
- Nancy Spreitzer
- Linda Marie Stogner
- April Tapia
- Andrew Thomas Theus
All providers in Estancia, NM · Marriage & Family Therapist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.