Provider Demographics
NPI:1427181478
Name:ARNOLD, SABRINA (MBS, LPC)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MBS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 GLEN BROOK DR.
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:OK
Mailing Address - Zip Code:74730
Mailing Address - Country:US
Mailing Address - Phone:580-924-6363
Mailing Address - Fax:580-924-0379
Practice Address - Street 1:106 GLENBROOK DR.
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:OK
Practice Address - Zip Code:74730
Practice Address - Country:US
Practice Address - Phone:580-924-6363
Practice Address - Fax:580-924-0379
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3760101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional