Provider Demographics
NPI:1184168585
Name:ARIAS, YESSENIA (MA, LPC)
Entity type:Individual
Prefix:
First Name:YESSENIA
Middle Name:
Last Name:ARIAS
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 1:5017 7TH RD S APT 102
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-2526
Mailing Address - Country:US
Mailing Address - Phone:571-245-0188
Mailing Address - Fax:
Practice Address - Street 1:1420 N ST NW STE 102
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-2876
Practice Address - Country:US
Practice Address - Phone:703-870-4142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC15097101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health