Provider Demographics
NPI:1609192137
Name:ARSENAULT, JANET ELAINE (MA, LPCC,)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:ELAINE
Last Name:ARSENAULT
Suffix:
Gender:F
Credentials:MA, LPCC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1812 PASEO DE LA CONQUISTADORA
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87501-2341
Mailing Address - Country:US
Mailing Address - Phone:505-983-2137
Mailing Address - Fax:
Practice Address - Street 1:1812 PASEO DE LA CONQUISTADORA
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87501-2341
Practice Address - Country:US
Practice Address - Phone:505-983-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0262102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst