Doctor Name: | JANA GARCIA |
NPI Number: | 1407266463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, CSW |
License Number: | 6568 |
Business Practice Address: | 300 S Clinton St Leitchfield, KY - 427541492 |
Business Phone Number: | 2702594652 |
Business Fax Number: | 2702596655 |
Mailing Address: | 300 S Clinton St, LEITCHFIELD |
State: | KY |
Postal Code: | 427541492 |
Phone Number: | 2702594652 |
Fax Number: | 2702596655 |
NPI Enumeration Date: | 04/30/2014 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |