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NPI Code Detail

MEDICARE: WILLIAM DALE ARROWSMITH LPC

MEDICARE: WILLIAM DALE ARROWSMITH LPC
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 Counselor129312-6004UT

General Provider Information

NPI Number : 1619263688
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM DALE ARROWSMITH LPC
Provider Business Mailing Address
First Line : 5129 S 1500 W
Second Line :
City : RIVERDALE
State : UT
Zip : 84405-3926
Country : US
Telephone Number : 801-675-0209
Fax Number :
Provider Business Practice Location Address
First Line : 5129 S 1500 W
Second Line :
City : RIVERDALE
State : UT
Zip : 84405-3926
Country : US
Telephone Number : 801-675-0209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2011
Last Update Date : 06/28/2011

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Directions to “ WILLIAM DALE ARROWSMITH LPC” Practice Location

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