Provider Demographics
NPI:1750540050
Name:ADAMCZYK-ABUSOMWAN, JENNIFER MARIE (LPC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:MARIE
Last Name:ADAMCZYK-ABUSOMWAN
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 1:5023 SARDIS RD
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-9534
Mailing Address - Country:US
Mailing Address - Phone:412-614-1121
Mailing Address - Fax:
Practice Address - Street 1:7950 SALTSBURG RD STE 4
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-1974
Practice Address - Country:US
Practice Address - Phone:412-944-6400
Practice Address - Fax:412-430-3369
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005136101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional