Individual provider · NPI-1

Annette Arnold, LLPC,CAAC,LBSW,ADS

Counselor, Mental Health · Saint Clair Shores, MI

NPI number1306154141

StatusActive

Last updated in NPPESSep 14, 2010

Details

NPI: 1306154141
Entity type: Individual (NPI-1)
Name: Ms. Annette Arnold
Credential: LLPC,CAAC,LBSW,ADS
Sex: Female
Sole proprietor: Yes
Enumeration date: Sep 14, 2010
Last updated: Sep 14, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	6401010508	MI	Yes
101YA0400X	Counselor, Addiction (Substance Use Disorder)	C-01677	MI
104100000X	Social Worker	6802080312	MI

Practice location

22777 Harper Ave
Suite 208a
Saint Clair Shores, MI 48080-1868

Phone 313-399-3712 · Fax 313-521-9125

Mailing address

19217 Hickory St
Detroit, MI 48205-2236

Phone 313-399-3712 · Fax 313-521-9125

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