Provider Demographics
NPI:1063198612
Name:ARRIOLA, MAIRA RIOS (LPC)
Entity type:Individual
Prefix:
First Name:MAIRA
Middle Name:RIOS
Last Name:ARRIOLA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7521 SVRB
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-7521
Mailing Address - Country:US
Mailing Address - Phone:670-287-8521
Mailing Address - Fax:
Practice Address - Street 1:6690 COMMERCIAL BLDG., KAGMAN RD., KAGMAN III
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-256-5242
Practice Address - Fax:670-256-5249
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP0010101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional