MEDICARE: MIGUEL ARIZA MA, MFT-I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MI4311	NV
2	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1518592252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIGUEL ARIZA MA, MFT-I

Provider Business Mailing Address
First Line	:	6180 MAE ANNE AVE STE 5
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-4708
Country	:	US
Telephone Number	:	775-525-8010
Fax Number	:

Provider Business Practice Location Address
First Line	:	6180 MAE ANNE AVE STE 5
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-4708
Country	:	US
Telephone Number	:	775-525-8010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2020
Last Update Date	:	01/16/2025

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