Provider Demographics
NPI:1730319294
Name:SZMUC, JOLANTA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JOLANTA
Middle Name:
Last Name:SZMUC
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 1:450 HAMBURG TPKE
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-8480
Mailing Address - Country:US
Mailing Address - Phone:973-800-7123
Mailing Address - Fax:973-521-8561
Practice Address - Street 1:450 HAMBURG TPKE
Practice Address - Street 2:SUITE 2B
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-8480
Practice Address - Country:US
Practice Address - Phone:973-800-7123
Practice Address - Fax:973-521-8561
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-19
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00390100101YP2500X
NJ37LC00161900101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)