Provider Demographics
NPI:1356911853
Name:ARELLANO GAONA, JULIETH ALEJANDRA (LCSW)
Entity type:Individual
Prefix:
First Name:JULIETH
Middle Name:ALEJANDRA
Last Name:ARELLANO GAONA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 BICKERS ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75212-2460
Mailing Address - Country:US
Mailing Address - Phone:972-502-4049
Mailing Address - Fax:
Practice Address - Street 1:2815 BICKERS ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75212-2460
Practice Address - Country:US
Practice Address - Phone:972-502-4040
Practice Address - Fax:214-932-7586
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX643231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical