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1750066098 NPI number — MALORY KAY OLEJACK MA, LPC

NPI Number: 1750066098
Health Care Provider/Practitioner: MALORY KAY OLEJACK MA, LPC

Information about “1750066098” NPI (MALORY KAY OLEJACK MA, LPC) exists in 1750066098 in HTML format HTML  |  1750066098 in plain Text format TXT  |  1750066098 in PDF (Portable Document Format) PDF  |  1750066098 in an XML format XML  formats.

NPI Number : 1750066098 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750066098",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OLEJACK",
    "FirstName": "MALORY",
    "MiddleName": "KAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3278 TURTLE LAKE DR SE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARIETTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30067-5056",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-279-0577",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 JOHNSON FERRY RD STE E150",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MARIETTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30068-2176",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "678-824-6893",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/15/2023",
    "LastUpdateDate": "04/04/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LPC014098",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "APC008107",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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