Provider Demographics
NPI:1225175045
Name:ARNOLD, MICHELLE ANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:ANNE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 COLLEGE RD
Mailing Address - Street 2:STE. 201
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3710
Mailing Address - Country:US
Mailing Address - Phone:907-452-7300
Mailing Address - Fax:907-452-7307
Practice Address - Street 1:3535 COLLEGE RD
Practice Address - Street 2:STE. 201
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-3710
Practice Address - Country:US
Practice Address - Phone:907-452-7300
Practice Address - Fax:907-452-7307
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical