Provider Demographics
NPI:1609985738
Name:ARIAZ, CASSANDRA DAVINA (MS, MFT)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:DAVINA
Last Name:ARIAZ
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 162748
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-2748
Mailing Address - Country:US
Mailing Address - Phone:916-895-2804
Mailing Address - Fax:
Practice Address - Street 1:801 ALHAMBRA BLVD STE 4
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4432
Practice Address - Country:US
Practice Address - Phone:916-895-2804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50789106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7284OtherSACTO. COUNTY BILLING #