Provider Demographics
NPI:1326337841
Name:ARBELO, IRENE (MA)
Entity Type:Individual
Prefix:MS
First Name:IRENE
Middle Name:
Last Name:ARBELO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:IRENE
Other - Middle Name:
Other - Last Name:CARRERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2209 E 65TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-5045
Mailing Address - Country:US
Mailing Address - Phone:206-880-3492
Mailing Address - Fax:
Practice Address - Street 1:2209 E 65TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-5045
Practice Address - Country:US
Practice Address - Phone:206-880-3492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health