Provider Demographics
NPI:1831591619
Name:ARNOLD, NICOLE (CADCII)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:CADCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 LIGHTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-1915
Mailing Address - Country:US
Mailing Address - Phone:404-314-1875
Mailing Address - Fax:678-712-9956
Practice Address - Street 1:35 LIGHTWOOD DR
Practice Address - Street 2:APT/SUITE
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-1915
Practice Address - Country:US
Practice Address - Phone:404-314-1875
Practice Address - Fax:678-712-9956
Is Sole Proprietor?:No
Enumeration Date:2014-09-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)