Provider Demographics
NPI:1871229815
Name:NOVAK, ANNE-MARY (LPC)
Entity type:Individual
Prefix:
First Name:ANNE-MARY
Middle Name:
Last Name:NOVAK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5095 FAIRWAYS CIR APT 209
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32967-7435
Mailing Address - Country:US
Mailing Address - Phone:732-995-5588
Mailing Address - Fax:
Practice Address - Street 1:5095 FAIRWAYS CIR APT 209
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32967-7435
Practice Address - Country:US
Practice Address - Phone:732-995-5588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-30
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00119700101YM0800X
NJ37PC00483000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health