Doctor Name: | ARLEN MARK HALSTEAD |
NPI Number: | 1861798977 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., LMHC |
License Number: | 005567 |
Business Practice Address: | 587 Main St Suite 108 New York Mills, NY - 134171481 |
Business Phone Number: | 3157323435 |
Business Fax Number: | 8668222343 |
Mailing Address: | 122 Business Park Dr, Suite 1 UTICA |
State: | NY |
Postal Code: | 135026321 |
Phone Number: | 3157323431 |
Fax Number: | 8668222343 |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 005567 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |