Provider Demographics
NPI:1508032582
Name:ZINKE, ARTHUR BENJAMIN (LMFT)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:BENJAMIN
Last Name:ZINKE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:BEN
Other - Middle Name:
Other - Last Name:ZINKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:6700 N LINDER RD STE 156A
Mailing Address - Street 2:#355
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646
Mailing Address - Country:US
Mailing Address - Phone:626-665-5070
Mailing Address - Fax:
Practice Address - Street 1:19322 JESSE LN
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-5072
Practice Address - Country:US
Practice Address - Phone:951-387-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF53745101YM0800X
IDLMFT-9757106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health