Provider Demographics
NPI:1689053803
Name:ONGSIAKO, TARYN (MS, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:TARYN
Middle Name:
Last Name:ONGSIAKO
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2135
Mailing Address - Country:US
Mailing Address - Phone:732-431-5872
Mailing Address - Fax:732-577-1425
Practice Address - Street 1:83 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2135
Practice Address - Country:US
Practice Address - Phone:732-431-5872
Practice Address - Fax:732-577-1425
Is Sole Proprietor?:No
Enumeration Date:2015-05-20
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00545800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional