Provider Demographics
NPI:1851558266
Name:ARELLANO, ALFREDO (PMHCNS-BC)
Entity Type:Individual
Prefix:MR
First Name:ALFREDO
Middle Name:
Last Name:ARELLANO
Suffix:
Gender:M
Credentials:PMHCNS-BC
Other - Prefix:
Other - First Name:FRED
Other - Middle Name:
Other - Last Name:ARELLANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1122 MONTANA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5510
Mailing Address - Country:US
Mailing Address - Phone:915-307-5796
Mailing Address - Fax:915-307-5822
Practice Address - Street 1:1122 MONTANA AVE STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5510
Practice Address - Country:US
Practice Address - Phone:915-307-5796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX537027364SP0808X
TXAP104650364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health