Provider Demographics
NPI:1982168852
Name:PIOTRKOVSKI, ESTHER M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:M
Last Name:PIOTRKOVSKI
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 1:23 TUSCANY TER
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-2144
Mailing Address - Country:US
Mailing Address - Phone:732-864-4501
Mailing Address - Fax:
Practice Address - Street 1:23 TUSCANY TER
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2144
Practice Address - Country:US
Practice Address - Phone:732-864-4501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00745100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional