Provider Demographics
NPI:1437597069
Name:ARNOLD, JESSICA (MFT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 LENOX ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-4321
Mailing Address - Country:US
Mailing Address - Phone:203-605-9658
Mailing Address - Fax:
Practice Address - Street 1:75 LENOX ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4321
Practice Address - Country:US
Practice Address - Phone:203-605-9658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist