Provider Demographics
NPI:1962680470
Name:ARNTSEN, DONALD A (LPC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:A
Last Name:ARNTSEN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:DON
Other - Middle Name:
Other - Last Name:ARNTSEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:483 W. SEED FARM RD
Mailing Address - Street 2:
Mailing Address - City:SACATON
Mailing Address - State:AZ
Mailing Address - Zip Code:85247
Mailing Address - Country:US
Mailing Address - Phone:602-528-7144
Mailing Address - Fax:602-528-1374
Practice Address - Street 1:483 W. SEEDF FARM RD
Practice Address - Street 2:
Practice Address - City:SACATON
Practice Address - State:AR
Practice Address - Zip Code:85247
Practice Address - Country:US
Practice Address - Phone:602-528-7144
Practice Address - Fax:602-525-1374
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10920101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional