Provider Demographics
NPI:1588785885
Name:PACHANO AREVALO, MARITZA CRISTINA (MA, CAGS,)
Entity type:Individual
Prefix:
First Name:MARITZA
Middle Name:CRISTINA
Last Name:PACHANO AREVALO
Suffix:
Gender:F
Credentials:MA, CAGS,
Other - Prefix:
Other - First Name:MARITZA
Other - Middle Name:CRISTINA
Other - Last Name:PACHANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRISTINA PACHANO
Mailing Address - Street 1:82 WENDELL AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-7066
Mailing Address - Country:US
Mailing Address - Phone:617-803-7240
Mailing Address - Fax:
Practice Address - Street 1:82 WENDELL AVE STE 100
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-7066
Practice Address - Country:US
Practice Address - Phone:617-803-7240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6737101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health