Provider Demographics
NPI:1386785764
Name:ARNOULD, VICKI M (MED, CAGS)
Entity type:Individual
Prefix:MS
First Name:VICKI
Middle Name:M
Last Name:ARNOULD
Suffix:
Gender:F
Credentials:MED, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 NORTHAMPTON ST STE B4
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1180
Mailing Address - Country:US
Mailing Address - Phone:413-222-7017
Mailing Address - Fax:413-529-7179
Practice Address - Street 1:181 NORTHAMPTON ST STE B4
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1180
Practice Address - Country:US
Practice Address - Phone:413-222-7017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7786101YM0800X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health