Provider Demographics
NPI:1992700538
Name:WOICIK, JILL (LPC, LMFT, NCC)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:
Last Name:WOICIK
Suffix:
Gender:F
Credentials:LPC, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 S BUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-2006
Mailing Address - Country:US
Mailing Address - Phone:214-319-3455
Mailing Address - Fax:214-319-3495
Practice Address - Street 1:5200 S BUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-2006
Practice Address - Country:US
Practice Address - Phone:214-319-3455
Practice Address - Fax:214-319-3495
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17948101YP2500X
TX005111-005761106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist