Doctor Name: | MS. ROXANNE HALCZAK |
NPI Number: | 1396749230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW/MSW |
License Number: | LCS 20799 |
Business Practice Address: | 1711 3rd St Eureka, CA - 955010714 |
Business Phone Number: | 7072682800 |
Business Fax Number: | 7074457547 |
Mailing Address: | 1711 3rd St, EUREKA |
State: | CA |
Postal Code: | 955010714 |
Phone Number: | 7072682800 |
Fax Number: | 7074457547 |
NPI Enumeration Date: | 06/09/2005 |
NPI Last Update Date: | 10/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCS 20799 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |