Provider Demographics
NPI:1710311634
Name:ELIAS, AREONA NICHOLE
Entity Type:Individual
Prefix:MISS
First Name:AREONA
Middle Name:NICHOLE
Last Name:ELIAS
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 1:22198 CENTER ST APT 103
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-6616
Mailing Address - Country:US
Mailing Address - Phone:510-825-4419
Mailing Address - Fax:
Practice Address - Street 1:22198 CENTER ST APT 103
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-6616
Practice Address - Country:US
Practice Address - Phone:510-825-4419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor