Provider Demographics
NPI:1891270476
Name:ARECHIGA, JILL RENE (LCSW)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:RENE
Last Name:ARECHIGA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 STONEHOLLOW DR APT 422
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-3133
Mailing Address - Country:US
Mailing Address - Phone:512-789-0992
Mailing Address - Fax:
Practice Address - Street 1:11900 STONEHOLLOW DR APT 422
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-3133
Practice Address - Country:US
Practice Address - Phone:512-789-0992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX530491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical