Provider Demographics
NPI:1710863485
Name:ARNTSEN, MELANIE S (MACP)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:S
Last Name:ARNTSEN
Suffix:
Gender:F
Credentials:MACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15127 MAIN ST E, STE 104 #1022
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-2689
Mailing Address - Country:US
Mailing Address - Phone:253-413-9088
Mailing Address - Fax:
Practice Address - Street 1:17711 106TH ST E
Practice Address - Street 2:
Practice Address - City:BONNEY LAKE
Practice Address - State:WA
Practice Address - Zip Code:98391-5140
Practice Address - Country:US
Practice Address - Phone:253-906-1993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral