Provider Demographics
NPI:1932756889
Name:ARCINIEGA, GABRIELLA (LPC, APCC)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:
Last Name:ARCINIEGA
Suffix:
Gender:F
Credentials:LPC, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1381 E SANTA CLARA ST APT 62
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-3226
Mailing Address - Country:US
Mailing Address - Phone:804-908-7873
Mailing Address - Fax:
Practice Address - Street 1:2150 N VICTORIA AVE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-7791
Practice Address - Country:US
Practice Address - Phone:805-382-6296
Practice Address - Fax:805-436-1913
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010961101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional