Healthcare Provider Details

I. General information

NPI: 1275866337
Provider Name (Legal Business Name): JOY WESTON ARNOLD M.ED., L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2009
Last Update Date: 09/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HENSON ST
TRUTH OR CONSEQUENCES NM
87901-3464
US

IV. Provider business mailing address

1100 HENSON ST
TRUTH OR CONSEQUENCES NM
87901-3464
US

V. Phone/Fax

Practice location:
  • Phone: 575-894-8772
  • Fax:
Mailing address:
  • Phone: 575-894-8772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number163
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: