Mrs. Jordan S Wasik, LPC
Counselor, Mental Health in Canton, Connecticut
1144607367- Practice location
- 191 Albany Tpke Ste 307, Canton, CT 06019-2554
- Phone
- 860-461-9914
- Fax
- —
- Last updated
- October 21, 2021
Jordan Sileo Wasik is a Counselor, Mental Health based in Canton, CT. Jordan Sileo Wasik practices in Canton, CT and has the professional credentials of LPC. The NPI Number for Jordan Sileo Wasik is 1144607367 and holds a License No. 3093 (CT). The current practice location address for Jordan Sileo Wasik is 191 Albany Tpke Ste 307, Canton, CT 06019-2554 and can be reached out via phone at 860-461-9914.
Provider Profile Details
- NPI Number
- 1144607367
- Provider Name
- Jordan Sileo Wasik
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 191 Albany Tpke Ste 307, Canton, CT 06019-2554
- Phone Number
- 860-461-9914
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 27, 2015
- Last Update Date
- October 21, 2021
- Certification Date
- October 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 191 Albany Tpke Ste 307
Canton, CT 06019-2554 - City
- Canton
- State
- Connecticut
- Zip
- 06019-2554
- Phone Number
- 860-461-9914
Provider Business Mailing Address Details
- Address
- 97B Dyer Ave
Collinsville, CT 06019-3233 - City
- Collinsville
- State
- CT
- Zip
- 06019-3233
- Phone Number
- 860-384-4483
License Information
- Taxonomy (1)
- Counselor · 101Y00000X
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (3)
- Counselor, Mental Health · 101YM0800X
- License Number (4)
- 3093
- License State (4)
- CT
- Taxonomy (4)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Canton, CT
View all Counselor, Mental Health providers in Canton →Frequently Asked Questions
What is the NPI number of Mrs. Jordan S Wasik, LPC?
The NPI number of Mrs. Jordan S Wasik, LPC is 1144607367. It was assigned on April 27, 2015 and is currently active in the NPPES registry.
What is the specialty of Mrs. Jordan S Wasik, LPC?
Mrs. Jordan S Wasik, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 3093.
Where does Mrs. Jordan S Wasik, LPC practice?
The practice location is 191 Albany Tpke Ste 307, Canton, CT 06019-2554. The office can be reached at 860-461-9914 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144607367 directly on the NPPES registry website.