Provider Demographics
NPI:1396757324
Name:ARKLE, JOHN DAVID (MS, LIMHP LIMFT)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:ARKLE
Suffix:
Gender:M
Credentials:MS, LIMHP LIMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-3337
Mailing Address - Country:US
Mailing Address - Phone:308-233-1995
Mailing Address - Fax:308-236-9013
Practice Address - Street 1:124 W 46TH ST STE 2
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-8348
Practice Address - Country:US
Practice Address - Phone:308-233-1995
Practice Address - Fax:308-236-9013
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE23106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47080518700Medicaid