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NPI Code Detail

MEDICARE: JARED ALEXANDER ARKING M.A.

MEDICARE: JARED ALEXANDER ARKING M.A.
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
1101YM0800XMental Health CounselorMI

General Provider Information

NPI Number : 1366335226
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED ALEXANDER ARKING M.A.
Provider Business Mailing Address
First Line : 26184 OUTER DR
Second Line :
City : LINCOLN PARK
State : MI
Zip : 48146-2084
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1942 GLADSTONE ST
Second Line :
City : DETROIT
State : MI
Zip : 48206-2232
Country : US
Telephone Number : 517-215-6723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2025
Last Update Date : 05/30/2025

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Directions to “ JARED ALEXANDER ARKING M.A.” Practice Location

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