Provider Demographics
NPI:1417018078
Name:KROLACK, JANICE (LPC)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:KROLACK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 HAMPTON HOLLOW DRIVE
Mailing Address - Street 2:
Mailing Address - City:PERRINEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08535
Mailing Address - Country:US
Mailing Address - Phone:609-443-0821
Mailing Address - Fax:
Practice Address - Street 1:39 HAMPTON HOLLOW DRIVE
Practice Address - Street 2:
Practice Address - City:PERRINEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08535
Practice Address - Country:US
Practice Address - Phone:609-443-0821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00075500101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health