Healthcare Provider Details

I. General information

NPI: 1831856194
Provider Name (Legal Business Name): CHRISTIANE AREVALO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2021
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S KRAEMER BLVD STE 110
PLACENTIA CA
92870-6109
US

IV. Provider business mailing address

101 S KRAEMER BLVD STE 110
PLACENTIA CA
92870-6109
US

V. Phone/Fax

Practice location:
  • Phone: 877-538-4133
  • Fax: 714-996-2419
Mailing address:
  • Phone: 877-538-4133
  • Fax: 714-996-2419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number129374
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: