| Doctor Name: | NANSEA L. C. ARQUETTE |
| NPI Number: | 1063625770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | LCS16978 |
| Business Practice Address: | 591 South Washington Street Suite B Sonora, CA - 95370 |
| Business Phone Number: | 2095329001 |
| Business Fax Number: | 2095329002 |
| Mailing Address: | 19160 Hillsdale Dr, SONORA |
| State: | CA |
| Postal Code: | 953709205 |
| Phone Number: | 2095339139 |
| Fax Number: | 2095329002 |
| NPI Enumeration Date: | 05/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCS16978 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |