Provider Demographics
NPI:1639870330
Name:ARNOLD AREVALO, ANNAMARIA
Entity Type:Individual
Prefix:MRS
First Name:ANNAMARIA
Middle Name:
Last Name:ARNOLD AREVALO
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 1:3016 N 72ND ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-1110
Mailing Address - Country:US
Mailing Address - Phone:414-702-6673
Mailing Address - Fax:
Practice Address - Street 1:3016 N 72ND ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1110
Practice Address - Country:US
Practice Address - Phone:414-702-6673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor