Healthcare Provider Details

I. General information

NPI: 1447129671
Provider Name (Legal Business Name): MARA PAOLA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/07/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 E WASHINGTON BLVD STE 230
PASADENA CA
91107-1449
US

IV. Provider business mailing address

6521 SPECHT AVE APT B
BELL GARDENS CA
90201-6985
US

V. Phone/Fax

Practice location:
  • Phone: 626-296-8903
  • Fax:
Mailing address:
  • Phone: 323-245-8403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20757
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: