Provider Demographics
NPI:1558039198
Name:ARELLANO, ERIKA MIROSLAVA (AMFT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MIROSLAVA
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:MIROSLAVA
Other - Last Name:ORTEGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1573
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:91933-1573
Mailing Address - Country:US
Mailing Address - Phone:619-251-3172
Mailing Address - Fax:
Practice Address - Street 1:1196 THIRD AVE
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-3131
Practice Address - Country:US
Practice Address - Phone:619-427-4661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA126899101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health