| Doctor Name: | MRS. JANENE PACK |
| NPI Number: | 1336570571 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 0165071 |
| Business Practice Address: | 8500 Executive Park Ave Ste 204 Fairfax, VA - 220312253 |
| Business Phone Number: | 5059779487 |
| Business Fax Number: | |
| Mailing Address: | 10623 Battalion Landing Ct, BURKE |
| State: | VA |
| Postal Code: | 220152517 |
| Phone Number: | 5059779487 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2013 |
| NPI Last Update Date: | 07/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 0165071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |