Fayette Larue Arnold
Counselor, Addiction (Substance Use Disorder) in Fresno, CA. Individual provider (NPI-1).
NPI number1982258604
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1982258604
- Entity type
- Individual (NPI-1)
- Name
- Fayette Larue Arnold
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2019
- Certification date
- Apr 16, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 6309 | CA | Yes |
Practice location
1235 E StFresno, CA 93706-2024
Phone 559-268-6261
Mailing address
2329 E Grant AveFresno, CA 93701-2207
Phone 559-519-9840
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