MEDICARE: HEATHER ARNDT MFT INTERN

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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1548089568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER ARNDT MFT INTERN

Provider Business Mailing Address
First Line	:	3519 EAGLE ROCK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-2826
Country	:	US
Telephone Number	:	323-405-4928
Fax Number	:

Provider Business Practice Location Address
First Line	:	3519 EAGLE ROCK BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90065-2826
Country	:	US
Telephone Number	:	323-405-4928
Fax Number	:

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

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	10/07/2024

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Directions to “ HEATHER ARNDT MFT INTERN” Practice Location

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