Jonnie Arnold, PSYD
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Phoenix, AZ
NPI 1801089685 · NPPES record last updated Jul 20, 2018
Key facts
- NPI
- 1801089685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- LISAC-11703 (AZ)
- Practice address
- 3400 Grand Ave
Phoenix, AZ 85017 - Phone
- (602) 717-2956
- Fax
- (602) 441-0613
- NPI assigned
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC-11703 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| 1123 | KS | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Vets-Arizona | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1123 | KS | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-11703 | AZ | Yes |
Addresses
Primary practice location
3400 Grand Ave
Phoenix, AZ 85017
Mailing address
1901 E 1St St
Newton, KS 67114-5010
Other practice location 1
1901 E 1st St
Newton, KS 67114-5010
Phone (316) 284-6400
Other providers in Phoenix, AZ
- Cerys Elizabeth Arnold
- Courtney Arnold
- Gina Marie Arnold
- Janean Robin Arnold
- Jennifer Arnold
- Juliann Arnold
- Kathleen Arnold
- Kendall Marie Arnold
- Laquisha Devine Arnold
- Ricky R Arnold
All providers in Phoenix, AZ · Addiction (Substance Use Disorder) Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.