Provider Demographics
NPI:1821209412
Name:ARNESON, TASHA DENE' (PHD, MFT, CAS)
Entity Type:Individual
Prefix:DR
First Name:TASHA
Middle Name:DENE'
Last Name:ARNESON
Suffix:
Gender:F
Credentials:PHD, MFT, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30755 AULD RD STE C
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2581
Mailing Address - Country:US
Mailing Address - Phone:951-600-6803
Mailing Address - Fax:951-600-6805
Practice Address - Street 1:30755 AULD RD STE C
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2581
Practice Address - Country:US
Practice Address - Phone:951-600-6803
Practice Address - Fax:951-600-6805
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 16945103TC2200X
CAMFT 35865106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist