Provider Demographics
NPI:1801049895
Name:CAJIGAL, ARTEMIO B JR (COUNSELOR)
Entity type:Individual
Prefix:MR
First Name:ARTEMIO
Middle Name:B
Last Name:CAJIGAL
Suffix:JR
Gender:M
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W RIVER DR
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52801-1014
Mailing Address - Country:US
Mailing Address - Phone:563-336-3000
Mailing Address - Fax:563-336-3212
Practice Address - Street 1:708 15TH AVE
Practice Address - Street 2:
Practice Address - City:EAST MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61244-2134
Practice Address - Country:US
Practice Address - Phone:563-336-3000
Practice Address - Fax:563-336-3212
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL45657101Y00000X
IL23115101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor