Provider Demographics
NPI:1104376938
Name:POZNIAK, MATTHEW (LPC)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:POZNIAK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 CEDAR CREEK GRADE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6460
Mailing Address - Country:US
Mailing Address - Phone:540-450-2734
Mailing Address - Fax:540-450-2735
Practice Address - Street 1:817 CEDAR CREEK GRADE
Practice Address - Street 2:SUITE 202
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6460
Practice Address - Country:US
Practice Address - Phone:540-450-2734
Practice Address - Fax:540-450-2735
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701006774101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor