| Doctor Name: | DR. JANICE STEWART DUGAN |
| NPI Number: | 1265548218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., LPC, LCADC |
| License Number: | 37LC00094100 |
| Business Practice Address: | 215 Highland Ave Suite C28-29 Haddon Township, NJ - 081082634 |
| Business Phone Number: | 8568543155 |
| Business Fax Number: | 8568540992 |
| Mailing Address: | 105 E Mantua Ave, WENONAH |
| State: | NJ |
| Postal Code: | 080901950 |
| Phone Number: | 8568543155 |
| Fax Number: | 8568540992 |
| NPI Enumeration Date: | 08/22/2006 |
| NPI Last Update Date: | 10/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37LC00094100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |