Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 ROSIN CT STE 100
SACRAMENTO CA
95834-1645
US

IV. Provider business mailing address

3840 ROSIN CT STE 100
SACRAMENTO CA
95834-1645
US

V. Phone/Fax

Practice location:
  • Phone: 916-921-0828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC20757
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: