Healthcare Provider Details

I. General information

NPI: 1417621426
Provider Name (Legal Business Name): CARMELA D ARCAINA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2021
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N 9TH ST STE C
MODESTO CA
95350-5814
US

IV. Provider business mailing address

500 N 9TH ST STE C
MODESTO CA
95350-5814
US

V. Phone/Fax

Practice location:
  • Phone: 209-552-2720
  • Fax: 209-558-4873
Mailing address:
  • Phone: 95-522-7202
  • Fax: 95-584-8732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC9263
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number141392
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: