Provider Demographics
NPI:1619667888
Name:DUCHAK, JOSEPH JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:DUCHAK
Suffix:JR
Gender:M
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:PO BOX 643
Mailing Address - Street 2:
Mailing Address - City:ALLENWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08720-0643
Mailing Address - Country:US
Mailing Address - Phone:908-489-7527
Mailing Address - Fax:
Practice Address - Street 1:2520 JEAN MARIE CT
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08724-0907
Practice Address - Country:US
Practice Address - Phone:908-489-7527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00808700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional