Healthcare Provider Details

I. General information

NPI: 1770643546
Provider Name (Legal Business Name): BRIAN STEVEN ARKELIAN LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/17/2024
Certification Date: 09/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4447 E. .CESAR CHAVEZ BLVD.
FRESNO CA
93702-3604
US

IV. Provider business mailing address

4447 E. CESAR CHAVEZ BLVD.
FRESNO CA
93702-3604
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-9089
  • Fax:
Mailing address:
  • Phone: 559-600-9089
  • Fax: 559-600-9135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS16363
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: