Provider Demographics
NPI:1174670194
Name:CHIZAN, ADRIANA M (LPC)
Entity Type:Individual
Prefix:MS
First Name:ADRIANA
Middle Name:M
Last Name:CHIZAN
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 1:5 OSBOURN CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE EGG HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08087-1038
Mailing Address - Country:US
Mailing Address - Phone:786-269-1159
Mailing Address - Fax:
Practice Address - Street 1:1147 N NEW RD
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-9303
Practice Address - Country:US
Practice Address - Phone:609-383-1190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00544500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL766116900Medicaid