Provider Demographics
NPI:1114510682
Name:VILLANUEVA, ARIANA MARIE (MA, LMHCA)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:MARIE
Last Name:VILLANUEVA
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:MARIE
Other - Last Name:GARIBAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3002 W CHESTNUT AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-2743
Mailing Address - Country:US
Mailing Address - Phone:509-759-8231
Mailing Address - Fax:
Practice Address - Street 1:307 S 12TH AVE STE 4B
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3137
Practice Address - Country:US
Practice Address - Phone:509-575-8457
Practice Address - Fax:509-453-1273
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61109758101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health