Provider Demographics
NPI:1114278827
Name:ARRASMITH, JOAN ELNORA (MED)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:ELNORA
Last Name:ARRASMITH
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 KEENE RD BLDG O
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-7754
Mailing Address - Country:US
Mailing Address - Phone:509-946-5515
Mailing Address - Fax:509-946-8519
Practice Address - Street 1:1950 KEENE RD BLDG O
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-7754
Practice Address - Country:US
Practice Address - Phone:509-946-5515
Practice Address - Fax:509-946-8519
Is Sole Proprietor?:No
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60308331101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health