Provider Demographics
NPI:1659428712
Name:VALIK, ANNE (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:VALIK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 GERARD DR
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1213
Mailing Address - Country:US
Mailing Address - Phone:201-689-6249
Mailing Address - Fax:
Practice Address - Street 1:10 FRANKLIN TPKE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-1748
Practice Address - Country:US
Practice Address - Phone:201-689-6249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00301900101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor