MEDICARE: MS. MARY L ARNOTT LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39001555A	IN
2	101YM0800X	Mental Health Counselor	LH00011389	WA

General Provider Information

NPI Number	:	1356344519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY L ARNOTT LMHC

Provider Business Mailing Address
First Line	:	390 E CEDAR ST
Second Line	:
City	:	SEQUIM
State	:	WA
Zip	:	98382-3403
Country	:	US
Telephone Number	:	360-681-8463
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 E CEDAR ST
Second Line	:
City	:	SEQUIM
State	:	WA
Zip	:	98382
Country	:	US
Telephone Number	:	360-681-8463
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/13/2019

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