Provider Demographics
NPI:1104361211
Name:PAWLOWSKI, JILL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:
Last Name:PAWLOWSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 STURDY OAK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2035
Mailing Address - Country:US
Mailing Address - Phone:412-200-8081
Mailing Address - Fax:
Practice Address - Street 1:1150 THORN RUN RD
Practice Address - Street 2:110
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-3102
Practice Address - Country:US
Practice Address - Phone:412-329-7778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008682101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health