Provider Demographics
NPI:1114563277
Name:JANCAJ, ERICA JOY NATWICK (MS, NCC, LGPC)
Entity Type:Individual
Prefix:
First Name:ERICA JOY
Middle Name:NATWICK
Last Name:JANCAJ
Suffix:
Gender:F
Credentials:MS, NCC, LGPC
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:JOY
Other - Last Name:NATWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:6006 LINCOLNIA RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-2766
Mailing Address - Country:US
Mailing Address - Phone:760-791-3100
Mailing Address - Fax:
Practice Address - Street 1:3815 FORT DR NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-1870
Practice Address - Country:US
Practice Address - Phone:760-791-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC00567101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health