Basic Information
| Provider Information | |||||||||
| NPI: | 1285157800 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARREOLA | ||||||||
| FirstName: | ELIZA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51201 PINE CANYON RD SPC 120 | ||||||||
| Address2: | |||||||||
| City: | KING CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939309732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8315961859 | ||||||||
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| Practice Location | |||||||||
| Address1: | 130 W GABILAN ST | ||||||||
| Address2: | |||||||||
| City: | SALINAS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939012762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317580181 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2017 | ||||||||
| LastUpdateDate: | 08/17/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | Y | Behavioral Health & Social Service Providers | Counselor |
No ID Information.