Provider Demographics
NPI:1477366300
Name:ARROYO, FRANCISCO ADOLFO (CG61604289)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:ADOLFO
Last Name:ARROYO
Suffix:
Gender:M
Credentials:CG61604289
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3414
Mailing Address - Country:US
Mailing Address - Phone:509-575-2885
Mailing Address - Fax:509-454-7877
Practice Address - Street 1:33 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3414
Practice Address - Country:US
Practice Address - Phone:509-575-2885
Practice Address - Fax:509-454-7877
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG61604289101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA91-0948131Medicaid