Organization Name: | JUDITH JANIS, M.A. |
NPI Number: | 1205954864 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUDITH JANIS (MENTAL HEALTH COUNSELOR) |
Mailing Address: | 919 3rd St Ste 101 Langley |
State: | WA US |
Postal Code: | 982609229 |
Phone Number: | 3602218101 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 020703LH00003880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |