Healthcare Provider Details

I. General information

NPI: 1871978494
Provider Name (Legal Business Name): JANEEN K. KOWALEK KINNEY LPC, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 01/12/2025
Certification Date: 01/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 W HANOVER AVE
MORRISTOWN NJ
07960-2777
US

IV. Provider business mailing address

340 W HANOVER AVE
MORRISTOWN NJ
07960-2777
US

V. Phone/Fax

Practice location:
  • Phone: 908-347-8795
  • Fax:
Mailing address:
  • Phone: 908-347-8795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00158700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00328200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: