Provider Demographics
NPI:1174727861
Name:ARNOLD, YVONNE CAROLYN (PPS)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:CAROLYN
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4379 BATT DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95838-2773
Mailing Address - Country:US
Mailing Address - Phone:916-920-0061
Mailing Address - Fax:916-568-5477
Practice Address - Street 1:2445 ALBATROSS WAY STE 101
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-2878
Practice Address - Country:US
Practice Address - Phone:916-631-0771
Practice Address - Fax:916-631-0498
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health