Provider Demographics
NPI:1104569938
Name:AKUCEWICZ-PINZON, LINDA DAWN (MHLC, LPC)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:DAWN
Last Name:AKUCEWICZ-PINZON
Suffix:
Gender:F
Credentials:MHLC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 RHINE BLVD
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1216
Mailing Address - Country:US
Mailing Address - Phone:908-797-3717
Mailing Address - Fax:
Practice Address - Street 1:810 RHINE BLVD
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1216
Practice Address - Country:US
Practice Address - Phone:908-797-3717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC000094400101YP2500X
NY004444-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional