Basic Information
| Provider Information | |||||||||
| NPI: | 1619994555 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARRIGUCCI | ||||||||
| FirstName: | JOEL | ||||||||
| MiddleName: | ALFRED | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | LCSW, DCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1008 SHAWNEE DR | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799121212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155646159 | ||||||||
| FaxNumber: | 9155647867 | ||||||||
| Practice Location | |||||||||
| Address1: | 5001 N PIEDRAS ST | ||||||||
| Address2: | 116 | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799304210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155646159 | ||||||||
| FaxNumber: | 9155647867 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 19460 | TX | X | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | I-3337 | NM | X | Behavioral Health & Social Service Providers | Social Worker | Clinical | 106H00000X | 343 | TX | X | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.