Doctor Name: | JENNIFER KAY RATAJCZAK |
NPI Number: | 1194035022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCA, NCC |
License Number: | 8146 |
Business Practice Address: | 2024 E Seventh St Suite A Charlotte, NC - 282043336 |
Business Phone Number: | 7048371443 |
Business Fax Number: | |
Mailing Address: | 7928 Park Vista Cir, CHARLOTTE |
State: | NC |
Postal Code: | 282264660 |
Phone Number: | 5134792629 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2010 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 8146 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |