Provider Demographics
NPI:1629822473
Name:CERVANTEZ-ARANDA, SELENA
Entity Type:Individual
Prefix:
First Name:SELENA
Middle Name:
Last Name:CERVANTEZ-ARANDA
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 1:755 COUNTY ROAD 1106 E
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-7486
Mailing Address - Country:US
Mailing Address - Phone:214-621-4819
Mailing Address - Fax:
Practice Address - Street 1:755 COUNTY ROAD 1106 E
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-7486
Practice Address - Country:US
Practice Address - Phone:214-621-4819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health