Provider Demographics
NPI:1518592252
Name:ARIZA, MIGUEL (MA, MFT-I)
Entity type:Individual
Prefix:
First Name:MIGUEL
Middle Name:
Last Name:ARIZA
Suffix:
Gender:M
Credentials:MA, MFT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6180 MAE ANNE AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-4708
Mailing Address - Country:US
Mailing Address - Phone:775-525-8010
Mailing Address - Fax:
Practice Address - Street 1:6180 MAE ANNE AVE STE 5
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-4708
Practice Address - Country:US
Practice Address - Phone:775-525-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI4311106H00000X
225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner