Individual
ALEXIS REANNE ARSENAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5915 ORCHARD ST W, UNIVERSITY PLACE, WA 98467-3824
(253) 414-7461
Mailing address
7172 HOLLOWAY ST # A, JOINT BASE LEWIS MCCHORD, WA 98433-1942
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
WA
261QM0850X
Adult Mental Health Clinic/Center
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
06/25/2025
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