Doctor Name: | JANET INMAN |
NPI Number: | 1558632745 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LAC |
License Number: | A1111116 |
Business Practice Address: | 313 Main St Lake Village, AR - 716531941 |
Business Phone Number: | 8702652186 |
Business Fax Number: | 8702652305 |
Mailing Address: | 313 Main St, LAKE VILLAGE |
State: | AR |
Postal Code: | 716531941 |
Phone Number: | 8702652186 |
Fax Number: | 8702652305 |
NPI Enumeration Date: | 01/19/2012 |
NPI Last Update Date: | 01/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | A1111116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |