MEDICARE: MRS. ARIANA MARIE SAHAGUN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	101YP2500X	Professional Counselor	AMFT158371	CA

General Provider Information

NPI Number	:	1811726268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ARIANA MARIE SAHAGUN

Provider Business Mailing Address
First Line	:	1620 CUMMINS DR
Second Line	:
City	:	MODESTO
State	:	CA
Zip	:	95358-6400
Country	:	US
Telephone Number	:	209-576-1750
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 E CANAL DR
Second Line	:
City	:	TURLOCK
State	:	CA
Zip	:	95380-3936
Country	:	US
Telephone Number	:	209-602-5521
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2024
Last Update Date	:	03/06/2026

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