Provider Demographics
NPI:1497772149
Name:TOLENTINO, ARTHUR C (PHD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:C
Last Name:TOLENTINO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:ARTHUR
Other - Middle Name:C
Other - Last Name:TOLENTINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:436 MCPHEE RD SW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-5014
Mailing Address - Country:US
Mailing Address - Phone:360-799-5782
Mailing Address - Fax:360-539-1715
Practice Address - Street 1:436 MCPHEE RD SW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-5014
Practice Address - Country:US
Practice Address - Phone:360-799-5782
Practice Address - Fax:360-539-1715
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1575101YP2500X
ORT0547106H00000X
WALF00002685106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional