Healthcare Provider Details

I. General information

NPI: 1740916410
Provider Name (Legal Business Name): JOHN ARNOLD LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1485 CHAIN BRIDGE RD STE 202
MC LEAN VA
22101-4501
US

IV. Provider business mailing address

1485 CHAIN BRIDGE RD STE 202
MC LEAN VA
22101-4501
US

V. Phone/Fax

Practice location:
  • Phone: 571-301-3928
  • Fax:
Mailing address:
  • Phone: 571-301-3928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704014947
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: