Individual provider · Type 1 NPI

Jaclyn Czerniak, LPC

Professional Counselor · Suffield, CT

NPI number 1487078762 Active

Practice location

880 Burbank Ave
Suffield, CT 06078-1459

Mailing address

PO Box 605
Suffield, CT 06078-0605

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1487078762

Jaclyn Czerniak, LPC's National Provider Identifier is 1487078762, issued on Feb 7, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Suffield, CT. The record was last updated on Mar 24, 2022.