Doctor Name: | MR. BENJAMIN W ARNOLD |
NPI Number: | 1306026927 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 0611 |
Business Practice Address: | 105 Wind Haven Dr Suite 1 Nicholasville, KY - 403568005 |
Business Phone Number: | 8592242273 |
Business Fax Number: | 8592244675 |
Mailing Address: | 105 Wind Haven Dr, Suite 1 NICHOLASVILLE |
State: | KY |
Postal Code: | 403568005 |
Phone Number: | 8592242273 |
Fax Number: | 8592244675 |
NPI Enumeration Date: | 11/12/2007 |
NPI Last Update Date: | 10/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0611 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |