Provider Demographics
NPI:1376001495
Name:LOZANO, ARIANA RAQUEL (LMFT)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:RAQUEL
Last Name:LOZANO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 O ST # 348
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-6519
Mailing Address - Country:US
Mailing Address - Phone:916-399-3386
Mailing Address - Fax:844-205-9093
Practice Address - Street 1:826 4TH ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:CA
Practice Address - Zip Code:95901
Practice Address - Country:US
Practice Address - Phone:916-399-3386
Practice Address - Fax:844-205-9093
Is Sole Proprietor?:No
Enumeration Date:2019-03-07
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT110793101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health