Provider Demographics
NPI:1396215604
Name:ARRIOLA, ADONIA KAR (LPC-S)
Entity Type:Individual
Prefix:
First Name:ADONIA
Middle Name:KAR
Last Name:ARRIOLA
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 RED BUD CIR
Mailing Address - Street 2:
Mailing Address - City:BULLARD
Mailing Address - State:TX
Mailing Address - Zip Code:75757-6392
Mailing Address - Country:US
Mailing Address - Phone:210-865-1329
Mailing Address - Fax:
Practice Address - Street 1:1340 RED BUD CIR
Practice Address - Street 2:
Practice Address - City:BULLARD
Practice Address - State:TX
Practice Address - Zip Code:75757-6392
Practice Address - Country:US
Practice Address - Phone:210-865-1329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62204101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional