Healthcare Provider Details

I. General information

NPI: 1871403493
Provider Name (Legal Business Name): ANDREA ARELLANO-DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 TRAVIS BLVD STE 350
FAIRFIELD CA
94533-4825
US

IV. Provider business mailing address

450 PITTMAN RD APT 335
FAIRFIELD CA
94534-6729
US

V. Phone/Fax

Practice location:
  • Phone: 707-426-4746
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164823
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: