Provider Demographics
NPI:1043797806
Name:SANCHEZ OHEP, JESUS ALFREDO (LPA)
Entity type:Individual
Prefix:MR
First Name:JESUS
Middle Name:ALFREDO
Last Name:SANCHEZ OHEP
Suffix:
Gender:M
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1322 SEATON RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-2427
Mailing Address - Country:US
Mailing Address - Phone:919-880-4868
Mailing Address - Fax:
Practice Address - Street 1:5315 HIGHGATE DR STE 102
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6623
Practice Address - Country:US
Practice Address - Phone:919-418-1718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5345103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical