Provider Demographics
NPI:1629732417
Name:PAJAK, JOAN PERRY (MS,RN)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:PERRY
Last Name:PAJAK
Suffix:
Gender:F
Credentials:MS,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 BEARWALLOW MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-2084
Mailing Address - Country:US
Mailing Address - Phone:413-325-4380
Mailing Address - Fax:
Practice Address - Street 1:239 BEARWALLOW MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-2084
Practice Address - Country:US
Practice Address - Phone:413-325-4380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC246116101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor