Provider Demographics
NPI:1609158112
Name:SZLAMNIK, JOE (MA, CADC-II)
Entity type:Individual
Prefix:MR
First Name:JOE
Middle Name:
Last Name:SZLAMNIK
Suffix:
Gender:M
Credentials:MA, CADC-II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 LAGUNA HONDA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1499
Mailing Address - Country:US
Mailing Address - Phone:628-217-7339
Mailing Address - Fax:415-759-4509
Practice Address - Street 1:375 LAGUNA HONDA BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1411
Practice Address - Country:US
Practice Address - Phone:650-985-7016
Practice Address - Fax:650-985-7019
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5684101YP2500X
CALR01330315101YA0400X
CA111010106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)