Provider Demographics
NPI:1205036365
Name:ABALOS, ARACELY
Entity Type:Individual
Prefix:MRS
First Name:ARACELY
Middle Name:
Last Name:ABALOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 CHURCH ST
Mailing Address - Street 2:130 GAVILAN STREET
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2632
Mailing Address - Country:US
Mailing Address - Phone:831-755-8155
Mailing Address - Fax:831-758-5127
Practice Address - Street 1:130 CHURCH ST
Practice Address - Street 2:130 GAVILAN STREET
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2632
Practice Address - Country:US
Practice Address - Phone:831-755-8155
Practice Address - Fax:831-758-5127
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80032106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist