Provider Demographics
NPI:1740360320
Name:SCISLOWICZ, JOSEPH JOHN (LPC, MFT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JOHN
Last Name:SCISLOWICZ
Suffix:
Gender:M
Credentials:LPC, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VA
Mailing Address - Zip Code:23851-2901
Mailing Address - Country:US
Mailing Address - Phone:757-650-8771
Mailing Address - Fax:757-650-8771
Practice Address - Street 1:733 CANTERBURY CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-2901
Practice Address - Country:US
Practice Address - Phone:757-650-8771
Practice Address - Fax:757-650-8771
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001343101YM0800X
NC2693101YM0800X
VA0717000430106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist