Provider Demographics
NPI:1639305105
Name:KUZNIK, JAN ANDREW (BA)
Entity Type:Individual
Prefix:MR
First Name:JAN
Middle Name:ANDREW
Last Name:KUZNIK
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Gender:M
Credentials:BA
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Mailing Address - Street 1:63 FRENCH KING HIGHWAY
Mailing Address - Street 2:FST- SERVICENET, INC.
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301
Mailing Address - Country:US
Mailing Address - Phone:413-386-3719
Mailing Address - Fax:413-772-0097
Practice Address - Street 1:63 FRENCH KING HIGHWAY
Practice Address - Street 2:FST- SERVICENET, INC.
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301
Practice Address - Country:US
Practice Address - Phone:413-386-3719
Practice Address - Fax:413-772-0097
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health