Healthcare Provider Details

I. General information

NPI: 1417480286
Provider Name (Legal Business Name): PAUL JANESKI COUNSELING & PSYCHOTHERAPY,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 02/19/2024
Certification Date: 02/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 S MAIN AVE
SCRANTON PA
18504-2545
US

IV. Provider business mailing address

1143 NORTHERN BLVD # 144
SOUTH ABINGTON TOWNSHIP PA
18411-2221
US

V. Phone/Fax

Practice location:
  • Phone: 570-677-7753
  • Fax: 570-348-4079
Mailing address:
  • Phone: 570-677-7753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC007655
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. PAUL JOSEPH JANESKI
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 570-677-7753