| Doctor Name: | MS. JACQUELINE FELCZAK |
| NPI Number: | 1427119742 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., LPC, LCADC |
| License Number: | 37LC00081200 |
| Business Practice Address: | 1618 Union Valley Rd West Milford, NJ - 074802222 |
| Business Phone Number: | 9737287001 |
| Business Fax Number: | 9737287255 |
| Mailing Address: | 11 Milford Ln, WEST MILFORD |
| State: | NJ |
| Postal Code: | 074801340 |
| Phone Number: | 9738091899 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00081200 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |