Provider Demographics
NPI:1427536440
Name:ARNOLD, DENISE (LMHC, PHD, MDIV, MHR)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LMHC, PHD, MDIV, MHR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5411 63RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516-9504
Mailing Address - Country:US
Mailing Address - Phone:360-456-0423
Mailing Address - Fax:
Practice Address - Street 1:520 LILLY RD NE BLDG 1
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5255
Practice Address - Country:US
Practice Address - Phone:253-740-9006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-01
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YP1600X
101YP2500X
WA00009987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional