Provider Demographics
NPI:1356432512
Name:ARNETT, GARY WAYNE (LPC)
Entity type:Individual
Prefix:
First Name:GARY
Middle Name:WAYNE
Last Name:ARNETT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 154628
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75015-4628
Mailing Address - Country:US
Mailing Address - Phone:972-259-4025
Mailing Address - Fax:972-259-3388
Practice Address - Street 1:1425 W PIONEER DR
Practice Address - Street 2:SUITE 123
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7122
Practice Address - Country:US
Practice Address - Phone:972-259-4025
Practice Address - Fax:972-259-3388
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14627101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional