SANDRA PROVENCIO

SANTA MARIA, CA
NPI1831346816
Former NameSANDRA SANCHEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  87223)
Enumeration Date2008-08-21
Last Update Date2026-03-09
Business Address
Mrs. SANDRA PROVENCIO
1414 S MILLER ST STE S
SANTA MARIA, CA 93454-6962
Phone number: 805-720-2809
Mailing Address
Mrs. SANDRA PROVENCIO
800 S BROADWAY STE 203
SANTA MARIA, CA 93454-6623
Phone number: 805-720-2809
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