Provider Demographics
NPI:1639844541
Name:NAVARRO, ARLENE GRACE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:GRACE
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 S BROAD ST STE 1833
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19109-1026
Mailing Address - Country:US
Mailing Address - Phone:267-973-2580
Mailing Address - Fax:
Practice Address - Street 1:123 S BROAD ST STE 1833
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19109-1026
Practice Address - Country:US
Practice Address - Phone:484-489-0558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-12
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional