Provider Demographics
NPI:1346019486
Name:ARNOLD, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 TOWNSHIP ROAD 1275
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:OH
Mailing Address - Zip Code:45619-8030
Mailing Address - Country:US
Mailing Address - Phone:740-451-0907
Mailing Address - Fax:740-451-0311
Practice Address - Street 1:57 TOWNSHIP ROAD 1275
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:OH
Practice Address - Zip Code:45619-8030
Practice Address - Country:US
Practice Address - Phone:740-451-0907
Practice Address - Fax:740-451-0311
Is Sole Proprietor?:No
Enumeration Date:2024-01-01
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)