Provider Demographics
NPI:1023522208
Name:ARELLANO, YESENIA RANGEL (MED, LMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:YESENIA
Middle Name:RANGEL
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:MED, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4227 S MERIDIAN # 185
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3603
Mailing Address - Country:US
Mailing Address - Phone:253-327-0089
Mailing Address - Fax:
Practice Address - Street 1:1102 COMMERCE ST STE 200
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4376
Practice Address - Country:US
Practice Address - Phone:253-327-0089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-26
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health