| Doctor Name: | MS. JANELLEN KUCHAREK |
| NPI Number: | 1265748834 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., L.L.P.C. |
| License Number: | 6401010552 |
| Business Practice Address: | 416 W Main St Suite E Gaylord, MI - 497351817 |
| Business Phone Number: | 9893904256 |
| Business Fax Number: | |
| Mailing Address: | Po Box 325, WATERS |
| State: | MI |
| Postal Code: | 497970325 |
| Phone Number: | 9893904256 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2010 |
| NPI Last Update Date: | 08/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401010552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |