Provider Demographics
NPI:1356799027
Name:BARRAGAN-SANCHEZ, MARIANA VALENCIA
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:VALENCIA
Last Name:BARRAGAN-SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARIANA
Other - Middle Name:VALENCIA
Other - Last Name:BARRAGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1769 STAR TULIP ST
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-7918
Mailing Address - Country:US
Mailing Address - Phone:408-439-5873
Mailing Address - Fax:
Practice Address - Street 1:1769 STAR TULIP ST
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-7918
Practice Address - Country:US
Practice Address - Phone:408-439-5873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-02
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1065481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical