Provider Demographics
NPI:1043732811
Name:ARNER, RONALD A (LAC, LPC)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:A
Last Name:ARNER
Suffix:
Gender:M
Credentials:LAC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100838
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80250-0838
Mailing Address - Country:US
Mailing Address - Phone:303-956-1906
Mailing Address - Fax:
Practice Address - Street 1:13693 E ILIFF AVE STE 250
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-6513
Practice Address - Country:US
Practice Address - Phone:720-257-9456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0013621101YP2500X
COACD.0000832101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1134254964Medicaid