MEDICARE: LAURA BELLE ARNOLD

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

General Provider Information

NPI Number	:	1437675386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BELLE ARNOLD

Provider Business Mailing Address
First Line	:	952 HARMON RD APT 6
Second Line	:
City	:	HARMON
State	:	IL
Zip	:	61042-9785
Country	:	US
Telephone Number	:	217-440-0754
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 IL ROUTE 2
Second Line	:
City	:	DIXON
State	:	IL
Zip	:	61021-9118
Country	:	US
Telephone Number	:	815-284-6611
Fax Number	:

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

Provider Enumeration Date	:	08/22/2017
Last Update Date	:	08/22/2017

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Directions to “ LAURA BELLE ARNOLD ” Practice Location

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