Individual provider · Type 1 NPI

Ellen Petak Jacowitz I, LCSW

Mental Health Counselor · Emerson, NJ

NPI number 1629489216 Active

Practice location

452 Old Hook Rd
Emerson, NJ 07630-1381

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	44SC05549100 (NJ)

Mental Health Counselor: Definition to come...

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Aileen Twomey, APNFamily Nurse Practitioner Emerson, NJ NPI 1619073434
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About NPI 1629489216

Ellen Petak Jacowitz I, LCSW's National Provider Identifier is 1629489216, issued on May 16, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Emerson, NJ. The record was last updated on Nov 17, 2017.