MS. Ellen Petak Jacowitz I, LCSW
NPI #1629489216 in Emerson, New Jersey
Provider Information
- NPI Number
- 1629489216
- Entity Type
- Individual
- Name
- MS. Ellen Petak Jacowitz I, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCSW
- Enumeration Date
- May 16, 2014
- Last Updated
- Nov 17, 2017
Practice Location
- Address
- 452 OLD HOOK RD
- City
- Emerson
- State
- New Jersey
- ZIP Code
- 07630-1381
- Phone
- (646) 335-2221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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