Healthcare Provider Details

I. General information

NPI: 1245508332
Provider Name (Legal Business Name): YVETTE ANGELINA ARROYO M.A., LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2011
Last Update Date: 05/26/2022
Certification Date: 05/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 W LANCASTER BLVD
LANCASTER CA
93534-2303
US

IV. Provider business mailing address

37159 POPULUS AVE
PALMDALE CA
93552-5359
US

V. Phone/Fax

Practice location:
  • Phone: 661-445-6503
  • Fax:
Mailing address:
  • Phone: 661-400-3622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC11566
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: