| Doctor Name: | MRS. JANIS LEA KASITATI |
| NPI Number: | 1619134467 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., LPC |
| License Number: | 20254 |
| Business Practice Address: | 130 Myrtle Dr New Boston, TX - 755703608 |
| Business Phone Number: | 9036282674 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1164, 130 Myrtle Dr. NEW BOSTON |
| State: | TX |
| Postal Code: | 755701164 |
| Phone Number: | 9036282674 |
| Fax Number: | |
| NPI Enumeration Date: | 05/20/2008 |
| NPI Last Update Date: | 05/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 20254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |