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NPI Code Detail

MEDICARE: MALGORZATA STANCHAK MS, NCC, LCMHCS

MEDICARE: MALGORZATA STANCHAK MS, NCC, LCMHCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor24145NC
2101YP2500XProfessional CounselorS13921NC

General Provider Information

NPI Number : 1295379899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALGORZATA STANCHAK MS, NCC, LCMHCS
Provider Business Mailing Address
First Line : 733 OCEAN HWY S
Second Line :
City : HERTFORD
State : NC
Zip : 27944-1437
Country : US
Telephone Number : 252-573-1189
Fax Number :
Provider Business Practice Location Address
First Line : 407 S GRIFFIN ST STE J
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-4693
Country : US
Telephone Number : 252-573-1189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2019
Last Update Date : 04/09/2026

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