Provider Demographics
NPI:1386846285
Name:KOWALSKI, FRANCIS X (EDS, LPC, LCDAC,)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:X
Last Name:KOWALSKI
Suffix:
Gender:M
Credentials:EDS, LPC, LCDAC,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WILRUE PKWY
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1718
Mailing Address - Country:US
Mailing Address - Phone:973-907-7408
Mailing Address - Fax:
Practice Address - Street 1:479 AVENUE C
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-5110
Practice Address - Country:US
Practice Address - Phone:201-339-0142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00127000101YA0400X
NJPC00683101YP2500X
NJ00042019103TS0200X
NJSW00522104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ00042019OtherSCHOOL PSYCHOLOGIST
NJ17083OtherNAT CERT COUNSELOR
NJ207OtherCERT CLINICAL SUPERV
NJSW00522OtherCERT SOCIAL WORKER
NJ37LC00127000OtherLIC CLINICAL ALCOHOL &DRU
NJPC00683OtherLIC PROF COUNSELOR
NJ00115762OtherSUBSTANCE AWARENESS COOR
NJ006OtherCERT CRIMINAL JUSTICE COU
NJ24831OtherCERT SEX OFFENDER SERVICE