Provider Demographics
NPI:1033239108
Name:CHAJECKI, IRMA MARIA
Entity Type:Individual
Prefix:MRS
First Name:IRMA
Middle Name:MARIA
Last Name:CHAJECKI
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 1:11502 E 27TH CT
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74129-8016
Mailing Address - Country:US
Mailing Address - Phone:918-664-0271
Mailing Address - Fax:918-582-0883
Practice Address - Street 1:1710 E 51ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74105-5922
Practice Address - Country:US
Practice Address - Phone:918-747-6377
Practice Address - Fax:918-747-8594
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)