Provider Demographics
NPI:1275866337
Name:ARNOLD, JOY WESTON (MED, LPC)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:WESTON
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HENSON ST
Mailing Address - Street 2:
Mailing Address - City:TRUTH OR CONSEQUENCES
Mailing Address - State:NM
Mailing Address - Zip Code:87901-3464
Mailing Address - Country:US
Mailing Address - Phone:575-894-8772
Mailing Address - Fax:
Practice Address - Street 1:1100 HENSON ST
Practice Address - Street 2:
Practice Address - City:TRUTH OR CONSEQUENCES
Practice Address - State:NM
Practice Address - Zip Code:87901-3464
Practice Address - Country:US
Practice Address - Phone:575-894-8772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS163101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health