Provider Demographics
NPI:1275675274
Name:WOJAK, JANICE M (MA LMHC LCPC NCC CAP)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:M
Last Name:WOJAK
Suffix:
Gender:F
Credentials:MA LMHC LCPC NCC CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 ORANGE BLVD
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-9108
Mailing Address - Country:US
Mailing Address - Phone:800-614-4124
Mailing Address - Fax:
Practice Address - Street 1:4550 ORANGE BLVD
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-9108
Practice Address - Country:US
Practice Address - Phone:800-614-4124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180003448101Y00000X
FLMH13968101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor