Provider Demographics
NPI:1427814052
Name:ARNDT, JILL
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:ARNDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1123 TAYLOR AVE N APT 21
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3840
Mailing Address - Country:US
Mailing Address - Phone:435-881-8867
Mailing Address - Fax:
Practice Address - Street 1:1123 TAYLOR AVE N APT 21
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3840
Practice Address - Country:US
Practice Address - Phone:435-881-8867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61444174101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health