Provider Demographics
NPI:1194017335
Name:RAJCZAK, PAULA JEAN (MA)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:JEAN
Last Name:RAJCZAK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MISS
Other - First Name:PAULA
Other - Middle Name:JEAN
Other - Last Name:SPECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42 NORTH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-1397
Mailing Address - Country:US
Mailing Address - Phone:706-348-8674
Mailing Address - Fax:706-348-8676
Practice Address - Street 1:42 NORTH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528-1397
Practice Address - Country:US
Practice Address - Phone:706-348-8674
Practice Address - Fax:706-348-8676
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor