Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mariana Sandoval

Individual provider Marriage & Family Therapist · NPI 1558017715

Mariana Sandoval is a Marriage and Family Therapist in Modesto, California. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022

Practice location Address checks out

1101 M St
Modesto, CA 95354-0755
Phone: (209) 552-9568
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X (CA)

Record details

NPI number1558017715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2022
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022
Mailing addressPo Box 414, Le Grand, CA 95333-0414

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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