MEDICARE: ROSE AGHAHOWA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	390200000X	Student in an Organized Health Care Education/Training Program
3	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1902940489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE AGHAHOWA

Provider Business Mailing Address
First Line	:	3637 MISSION AVE
Second Line	:
City	:	CARMICHAEL
State	:	CA
Zip	:	95608-2946
Country	:	US
Telephone Number	:	916-485-4175
Fax Number	:

Provider Business Practice Location Address
First Line	:	11645 FIORENZA LN
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95742-6960
Country	:	US
Telephone Number	:	279-233-4848
Fax Number	:

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

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	01/22/2026

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Directions to “ ROSE AGHAHOWA ” Practice Location

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