Healthcare Provider Details

I. General information

NPI: 1588572283
Provider Name (Legal Business Name): ASHLEY NICOLE ARIAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7365 CARNELIAN ST STE 240
RANCHO CUCAMONGA CA
91730-1136
US

IV. Provider business mailing address

7365 CARNELIAN ST STE 240
RANCHO CUCAMONGA CA
91730-1136
US

V. Phone/Fax

Practice location:
  • Phone: 909-281-1557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT164781
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: