| Doctor Name: | JANELLA LYNN PODA-HENRY |
| NPI Number: | 1538487228 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | PC005421 |
| Business Practice Address: | 164 Oak Grove Rd Pine Grove, PA - 179638653 |
| Business Phone Number: | 7179919306 |
| Business Fax Number: | |
| Mailing Address: | 164 Oak Grove Rd, PINE GROVE |
| State: | PA |
| Postal Code: | 179638653 |
| Phone Number: | 7179919306 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2010 |
| NPI Last Update Date: | 05/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | PC005421 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |