Provider Demographics
NPI:1992269781
Name:ARNOLD-HUTSLAR, BRITTANY ELAINA (LMHCA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ELAINA
Last Name:ARNOLD-HUTSLAR
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 3RD AVE STE G
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:IN
Mailing Address - Zip Code:47546-3653
Mailing Address - Country:US
Mailing Address - Phone:812-639-5341
Mailing Address - Fax:
Practice Address - Street 1:671 3RD AVE STE G
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:IN
Practice Address - Zip Code:47546-3653
Practice Address - Country:US
Practice Address - Phone:812-639-5341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88000693A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health