Doctor Name: | JAN LASSETER |
NPI Number: | 1003968678 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 1615 |
Business Practice Address: | 217 Gunter Ave Guntersville, AL - 359761111 |
Business Phone Number: | 2565828880 |
Business Fax Number: | 2565828890 |
Mailing Address: | Po Box 1001, GUNTERSVILLE |
State: | AL |
Postal Code: | 359767001 |
Phone Number: | 2565828880 |
Fax Number: | 2565828890 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |