Provider Demographics
NPI:1184294845
Name:ARPIN, MYRA FLOR R (LMHCA)
Entity type:Individual
Prefix:
First Name:MYRA FLOR
Middle Name:R
Last Name:ARPIN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55306
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-0306
Mailing Address - Country:US
Mailing Address - Phone:206-486-6739
Mailing Address - Fax:
Practice Address - Street 1:17543 25TH AVE NE
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-5206
Practice Address - Country:US
Practice Address - Phone:323-382-1499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAM61102366HCA.MC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health