Arnold Lydell Booth, COUNSELOR
Individual provider Active NPI Counselor · Marysville, CA
NPI 1972295301 · NPPES record last updated May 24, 2023
Key facts
- NPI
- 1972295301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- CI280000919 (CA)
- Practice address
- 1496 N Beale Road
Marysville, CA 95901-6205 - Phone
- (530) 749-8640
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| CI280000919 | CA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Addiction Treatment Services Inc | Current |
Accepting new patients |
Locations
1496 N Beale Rd
Marysville, CA 95901
Phone (530) 749-8640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | CI280000919 | CA | Yes |
Addresses
Primary practice location
1496 N Beale Road
Marysville, CA 95901-6205
Mailing address
1496 N Beale Rd
Marysville, CA 95901-6205
Phone (530) 749-8640
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2023. 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.