Czerniak, Jaclyn

Czerniak, Jaclyn is an individual health care provider with primary practice located at 880 Burbank Ave , Suffield CT 06078-1459. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Czerniak, Jaclyn can be contacted via phone (860) 539-6736.

Contact Information

Primary practice address
880 Burbank Ave Suffield CT 06078-1459
Phone: (860) 539-6736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1487078762
LBN Legal business name Czerniak, Jaclyn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2014
Last updated Mar 24th, 2022 - about 3 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.

Request for update

Popular Providers