Healthcare Provider Details

I. General information

NPI: 1295314961
Provider Name (Legal Business Name): ARACELI GAONA RIOS APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 10/31/2022
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 L ST
BAKERSFIELD CA
93301-4522
US

IV. Provider business mailing address

1401 L ST
BAKERSFIELD CA
93301-4522
US

V. Phone/Fax

Practice location:
  • Phone: 760-499-7406
  • Fax: 661-861-1020
Mailing address:
  • Phone: 760-499-7406
  • Fax: 661-861-1020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC8230
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: