Individual
JESSICA PLONCHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 SHERMAN AVE, TEANECK, NJ 07666-3310
(201) 370-5918
Mailing address
255 SHERMAN AVE, TEANECK, NJ 07666-3310
(201) 370-5918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00291400
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05795600
NJ
305R00000X
Preferred Provider Organization
44SL05751800
NJ
305S00000X
Point of Service
44SL05751800
NJ
Other
Enumeration date
08/29/2016
Last updated
08/07/2023
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