Provider Demographics
NPI:1164774006
Name:ARELLANO, MARIA G (LMFT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:ARELLANO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:G
Other - Last Name:LARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:7426 CHERRY AVE STE 210-520
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-4221
Mailing Address - Country:US
Mailing Address - Phone:909-276-4399
Mailing Address - Fax:
Practice Address - Street 1:8350 ARCHIBALD AVE STE 226
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3671
Practice Address - Country:US
Practice Address - Phone:909-276-4399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-02
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF79499106H00000X
CALMFT99474106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist