Healthcare Provider Details

I. General information

NPI: 1508090531
Provider Name (Legal Business Name): ARAZOLA NADINE SESSION PH.D., MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2009
Last Update Date: 05/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16168 PICK PL
RIVERSIDE CA
92504-5648
US

IV. Provider business mailing address

16168 PICK PL
RIVERSIDE CA
92504-5648
US

V. Phone/Fax

Practice location:
  • Phone: 951-776-3131
  • Fax: 951-776-3131
Mailing address:
  • Phone: 951-776-3131
  • Fax: 951-776-3131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW23692
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: