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NPI 1124515200

NPI 1124515200 : DANIEL C ARNOLD LCPC, NCC : BOISE, ID

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General NPI Number Information
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    NPI Number           |    1124515200
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    Entity Type          |    Individual 
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    Provider Name        |    DANIEL C ARNOLD LCPC, NCC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/15/2018
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    Last Update Date     |    12/04/2023
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Provider Practice Location Address
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    Address Line         |    1755 N WESTGATE DR STE 280 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83704-7176
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    Country              |    US
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    Telephone            |    208-375-2730
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    Fax                  |    208-658-6137
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Provider Business Mailing Address
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    Address Line         |    13962 W CORTINA CT 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83713-1233
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    Country              |    US
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    Telephone            |    208-869-2497
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    Fax                  |    208-658-6137
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    LPC-6181
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    License Number State |    ID
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