Basic Information
| Provider Information | |||||||||
| NPI: | 1821209412 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARNESON | ||||||||
| FirstName: | TASHA | ||||||||
| MiddleName: | DENE' | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D., MFT, CAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30755 AULD RD STE C | ||||||||
| Address2: | |||||||||
| City: | MURRIETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925632581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9516006803 | ||||||||
| FaxNumber: | 9516006805 | ||||||||
| Practice Location | |||||||||
| Address1: | 30755 AULD RD STE C | ||||||||
| Address2: | |||||||||
| City: | MURRIETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925632581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9516006803 | ||||||||
| FaxNumber: | 9516006805 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC2200X | PSY 16945 | CA | X | Behavioral Health & Social Service Providers | Psychologist | Clinical Child & Adolescent | 106H00000X | MFT 35865 | CA | X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.