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Contact Information

JILL CHICIAK, ATR-BC, LPAT
408 S WHITE HORSE PIKE
AUDUBON, NJ08106-1311
 Phone: 856-693-5775
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for JILL CHICIAK · (Female)

NPI # 1134511876
Status Active
Credentials ATR-BC, LPAT
Entity Individual
Enumeration date 03/03/2015
Last updated 07/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 16LP00008100
  • NJ Medicaid 0996025
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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