Provider Demographics
NPI:1962697359
Name:SAJEK, JO-ELLEN (LMFT, LADC)
Entity type:Individual
Prefix:MS
First Name:JO-ELLEN
Middle Name:
Last Name:SAJEK
Suffix:
Gender:F
Credentials:LMFT, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-3110
Mailing Address - Country:US
Mailing Address - Phone:860-301-0237
Mailing Address - Fax:
Practice Address - Street 1:1420 MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-3110
Practice Address - Country:US
Practice Address - Phone:860-301-0237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000537106H00000X
CT000702101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)