person
Ms. Ellen Petak Jacowitz I, LCSW
Mental Health Counselor in Emerson, New Jersey
NPI 1629489216

Ellen Petak Jacowitz I is a Mental Health Counselor based in Emerson, NJ and is specialized in Mental Health. Ellen Petak Jacowitz I practices in Emerson, NJ and has the professional credentials of LCSW. The NPI Number for Ellen Petak Jacowitz I is 1629489216 and holds a License No. 44SC05549100 (New Jersey).

The current practice location address for Ellen Petak Jacowitz I is 452 Old Hook Rd, Emerson, NJ and can be reached out via phone at 646-335-2221.

Location: 452 Old Hook Rd, Emerson, NJ, 07630-1381
person
Provider Profile Details
NPI Number
1629489216
Provider Name
Ellen Petak Jacowitz I
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
452 Old Hook Rd, Emerson, NJ, 07630-1381
Phone Number
646-335-2221
Fax Number
Provider Enumeration Date
05/16/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
452 Old Hook Rd
City
State
Zip
07630-1381
Phone Number
646-335-2221
Fax Number
person
Provider Business Mailing Address Details
Address
452 Old Hook Rd
City
State
Zip
07630-1381
Phone Number
646-335-2221
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
44SC05549100 (New Jersey)
Definition
Definition to come...
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