Healthcare Provider Details

I. General information

NPI: 1821325762
Provider Name (Legal Business Name): JEAN GARRITY ARNOLD L.M.F.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JEAN GARRITY ARNOLD LMFT

II. Dates (important events)

Enumeration Date: 11/13/2009
Last Update Date: 08/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 N NORTH CT SUITE 250
PALATINE IL
60067-8157
US

IV. Provider business mailing address

72 N SMITH ST
PALATINE IL
60067-5047
US

V. Phone/Fax

Practice location:
  • Phone: 847-496-5529
  • Fax:
Mailing address:
  • Phone: 847-530-0484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number166.000774
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number166.000774
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: