Doctor Name: | MRS. JANET WOODS EARLE |
NPI Number: | 1205805108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, ACSW, BCD |
License Number: | C001229 |
Business Practice Address: | Joel Health Clinic Wamc Army Medical Center Ft. Bragg, NC - 28307 |
Business Phone Number: | 9109079073 |
Business Fax Number: | |
Mailing Address: | 1527 Boros Dr, FAYETTEVILLE |
State: | NC |
Postal Code: | 283033092 |
Phone Number: | 9105830431 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C001229 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |