Provider Demographics
NPI:1841345303
Name:HUDZIK, JOHN CHRISTOPHER (LICSW)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:HUDZIK
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BROADWAY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3003
Mailing Address - Country:US
Mailing Address - Phone:978-683-8600
Mailing Address - Fax:978-683-8600
Practice Address - Street 1:225 BROADWAY
Practice Address - Street 2:SUITE 307
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3003
Practice Address - Country:US
Practice Address - Phone:978-683-8600
Practice Address - Fax:978-683-8600
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1106851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical