| Doctor Name: | JANICE I TETHEROW |
| NPI Number: | 1114027067 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA,CPC,LMHP,NCC |
| License Number: | 387 |
| Business Practice Address: | 442 N Cherry St Valentine, NE - 692011516 |
| Business Phone Number: | 4023761000 |
| Business Fax Number: | |
| Mailing Address: | 442 N Cherry St, VALENTINE |
| State: | NE |
| Postal Code: | 692011516 |
| Phone Number: | 4023761000 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2006 |
| NPI Last Update Date: | 11/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 387 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |