Provider Demographics
NPI:1295611325
Name:SANCHEZ, JESSICA (PHD, LMSW, MED)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHD, LMSW, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1955 MARKET CENTER BLVD APT 1404
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75207-3462
Mailing Address - Country:US
Mailing Address - Phone:402-440-8090
Mailing Address - Fax:
Practice Address - Street 1:232 SW JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-4776
Practice Address - Country:US
Practice Address - Phone:214-466-2918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107660104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty