Provider Demographics
NPI:1093356982
Name:ARNE, RAMONA Y (SUDP)
Entity Type:Individual
Prefix:MRS
First Name:RAMONA
Middle Name:Y
Last Name:ARNE
Suffix:
Gender:F
Credentials:SUDP
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:Y
Other - Last Name:ARNE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SUDP
Mailing Address - Street 1:3435 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:FORTUNA
Mailing Address - State:CA
Mailing Address - Zip Code:95540-3312
Mailing Address - Country:US
Mailing Address - Phone:253-439-7645
Mailing Address - Fax:
Practice Address - Street 1:2107 1ST ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0840
Practice Address - Country:US
Practice Address - Phone:707-273-6395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-02
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60116511101YA0400X
WACP60116511101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)