Provider Demographics
NPI:1922875244
Name:PSZCZOLA, MONIKA (LPC)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:
Last Name:PSZCZOLA
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 1:504 N GREEN ST UNIT 404
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-6523
Mailing Address - Country:US
Mailing Address - Phone:708-289-6438
Mailing Address - Fax:
Practice Address - Street 1:526 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-1835
Practice Address - Country:US
Practice Address - Phone:508-416-6030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional