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NPI Code Detail

MEDICARE: JACK CHRISTOPHER ARNOLD

MEDICARE: JACK CHRISTOPHER 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
1106H00000XMarriage & Family Therapist136521CA

General Provider Information

NPI Number : 1750166302
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACK CHRISTOPHER ARNOLD
Provider Business Mailing Address
First Line : 880 W HIGHLAND DR
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-1139
Country : US
Telephone Number : 805-501-0182
Fax Number :
Provider Business Practice Location Address
First Line : 4333 E VINEYARD AVE
Second Line :
City : OXNARD
State : CA
Zip : 93036-1013
Country : US
Telephone Number : 805-981-5572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2023
Last Update Date : 04/14/2026

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Directions to “ JACK CHRISTOPHER ARNOLD ” Practice Location

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