Provider Demographics
NPI:1740916410
Name:ARNOLD, JOHN (LRIC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:LRIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-5318
Mailing Address - Country:US
Mailing Address - Phone:571-494-0231
Mailing Address - Fax:
Practice Address - Street 1:NORTH SPRING BEHAVIORAL HEALTHCARE, 42009 VICTORY LANE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-777-0800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704014947101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health