Provider Demographics
NPI:1598139750
Name:ORACZEWSKI, JOHN HENRY JAMES (MS, NCC, LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:HENRY JAMES
Last Name:ORACZEWSKI
Suffix:
Gender:M
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 BUNKER HILL RD
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:PA
Mailing Address - Zip Code:18644-9380
Mailing Address - Country:US
Mailing Address - Phone:570-262-9956
Mailing Address - Fax:
Practice Address - Street 1:323 BUNKER HILL RD
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:PA
Practice Address - Zip Code:18644-9380
Practice Address - Country:US
Practice Address - Phone:570-262-9956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008550101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional