Provider Demographics
NPI:1306141023
Name:STOJALOWSKY, LASZLO JAMES (MA, LCPC)
Entity type:Individual
Prefix:
First Name:LASZLO
Middle Name:JAMES
Last Name:STOJALOWSKY
Suffix:
Gender:M
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N HAMMES AVE
Mailing Address - Street 2:SUITE LL1
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-8118
Mailing Address - Country:US
Mailing Address - Phone:773-425-7177
Mailing Address - Fax:815-744-9171
Practice Address - Street 1:310 N HAMMES AVE
Practice Address - Street 2:SUITE LL1
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8118
Practice Address - Country:US
Practice Address - Phone:773-425-7177
Practice Address - Fax:815-744-9171
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.004619101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health