Adamczak, Jeffrey Allen

Adamczak, Jeffrey Allen is an sole proprietor health care provider with primary practice located at 6929 Mariner Dr Ste. D, Racine WI 53406-3938. He recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Adamczak, Jeffrey Allen can be contacted via phone (262) 886-3322.

Contact Information

Primary practice address
6929 Mariner Dr Ste. D Racine WI 53406-3938
Phone: (262) 886-3322
Fax: (414) 571-9648
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 1758 Wisconsin
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 1758 Wisconsin
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1758 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1758 Wisconsin
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1758 Wisconsin
Behavioral Health & Social Service Providers / Family 103TF0000X 1758 Wisconsin
Behavioral Health & Social Service Providers / Forensic 103TF0200X 1758 Wisconsin
Behavioral Health & Social Service Providers / Health Service 103TH0100X 1758 Wisconsin
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 1758 Wisconsin
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1758 Wisconsin
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X 1758 Wisconsin

Profile Details

NPI number 1508914771
LBN Legal business name Adamczak, Jeffrey Allen
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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