Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ACD.0001307 | CO |
Y | 101YM0800X | Mental Health Counselor | LPC.0016401 | CO |
NPI | 1003446956 |
---|---|
Provider Name | Ms. Denae A Arnold |
First Address | Arvada, CO 80006-3108 |
Second Address | Wheat Ridge, CO 80033-2837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2020 |
Last Update Date | 06/05/2021 |