Provider Demographics
NPI:1376131656
Name:TEREK, JOANI (MA,LPC)
Entity Type:Individual
Prefix:
First Name:JOANI
Middle Name:
Last Name:TEREK
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:JOANI
Other - Middle Name:
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2506 COVINGTON CT
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1764
Mailing Address - Country:US
Mailing Address - Phone:724-561-5093
Mailing Address - Fax:
Practice Address - Street 1:2506 COVINGTON CT
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1764
Practice Address - Country:US
Practice Address - Phone:724-561-5093
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011680101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional