Provider Demographics
NPI:1841387834
Name:ARKEMA, CARROLL E (MDIV, LMFT, LP)
Entity Type:Individual
Prefix:MR
First Name:CARROLL
Middle Name:E
Last Name:ARKEMA
Suffix:
Gender:M
Credentials:MDIV, LMFT, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 RINGWOOD AVE
Mailing Address - Street 2:A 3
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-2072
Mailing Address - Country:US
Mailing Address - Phone:973-839-2420
Mailing Address - Fax:
Practice Address - Street 1:1 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-4404
Practice Address - Country:US
Practice Address - Phone:201-444-9484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00158900106H00000X
NY000637102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst