Provider Demographics
NPI:1689817231
Name:ARNOLD, ADAM WADE (MA)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:WADE
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:970 RAYMOND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55114-1164
Mailing Address - Country:US
Mailing Address - Phone:612-481-2234
Mailing Address - Fax:651-900-7595
Practice Address - Street 1:970 RAYMOND AVE STE 102
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114
Practice Address - Country:US
Practice Address - Phone:612-481-2234
Practice Address - Fax:651-900-7595
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-13
Last Update Date:2018-05-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health